Individual
GREGORY A LEACH
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1 MEDICAL CENTER DR, BIDDEFORD, ME 04005-9422
(207) 283-7402
(207) 283-7850
Mailing address
PO BOX 626, BIDDEFORD, ME 04005-0626
(207) 283-7402
(207) 283-7850
Taxonomy
Speciality
Code
Description
License number
State
208M00000X
Hospitalist Physician
Primary
014595
ME
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
014595
TUFTS
—
Enumeration date
11/01/2006
Last updated
07/08/2007
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