Individual
DR. LESLIE R FENN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
78 COLLEGE AVE, SOMERVILLE, MA 02144-1916
(617) 623-5487
(617) 776-4222
Mailing address
10 SHERMAN ST, LEXINGTON, MA 02420-3711
Taxonomy
Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
Primary
47616
MA
Other
Enumeration date
01/31/2006
Last updated
07/08/2007
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