Individual
DR. LEONARD SICILIAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
55 FRUIT STREET BUL 148, PULMONARY AND CRITICAL CARE, BOSTON, MA 02114-2696
(617) 726-1721
(617) 724-9948
Mailing address
PO BOX 9142, MASS GENERAL PHYSICIAN ORGANIZATION, CHARLESTOWN, MA 02129-9142
(617) 724-0520
(617) 724-9948
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
44081
MA
207RC0200X
Critical Care Medicine (Internal Medicine) Physician
44081
MA
207RP1001X
Pulmonary Disease Physician
Primary
44081
MA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0158119
—
MA
01
—
044081
TUFTS HEALTH PLAN
MA
01
—
E05689
BCBS MA
MA
Enumeration date
08/16/2006
Last updated
08/27/2012
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