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Individual

LESLIE HARROLD

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
M.D.

Contact information

Practice address
55 LAKE AVE N, DEPARTMENT OF RHEUMATOLOGY, WORCESTER, MA 01655-0002
(508) 334-5224
Mailing address
PO BOX 415348, BOSTON, MA 02241-5348

Taxonomy

Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
152494
MA
207RR0500X
Rheumatology Physician
Primary
152494
MA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
3172279
MA
Enumeration date
11/27/2005
Last updated
12/09/2010
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