Individual
THEODORE B LEFER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
164 HIGH STREET, GREENFIELD, MA 01301-2613
(413) 772-0211
(413) 794-1767
Mailing address
280 CHESTNUT STREET, 2ND FL, SPRINGFIELD, MA 01199-1001
(413) 794-5700
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
042.0014207
VT
207Q00000X
Family Medicine Physician
Primary
284728
MA
207Q00000X
Family Medicine Physician
MD172079
OR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
3122212
—
NH
05
—
6703475
—
VT
Enumeration date
05/09/2012
Last updated
06/04/2024
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