Organization
HOLISTIC MEDICINE LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. LEONID GORDIN MD (OWNER)
(617) 661-6225
Entity
Organization
Contact information
Practice address
2500 MASSACHUSETTS AVE, CAMBRIDGE, MA 02140-1628
(617) 661-6225
Mailing address
19 HAMPSHIRE RD, WAYLAND, MA 01778-1005
(508) 358-1005
Taxonomy
Speciality
Code
Description
License number
State
133N00000X
Nutritionist
—
—
133NN1002X
Nutrition Education Nutritionist
—
—
171100000X
Acupuncturist
—
—
175F00000X
Naturopath
—
—
175L00000X
Homeopath
—
—
207KA0200X
Allergy Physician
—
—
208100000X
Physical Medicine & Rehabilitation Physician
—
—
2083T0002X
Medical Toxicology (Preventive Medicine) Physician
Primary
—
—
Other
Enumeration date
12/05/2017
Last updated
12/05/2017
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