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Individual

MARC A LEIBOLE

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
M.D.

Contact information

Practice address
2000 WASHINGTON ST, WHITE 548, NEWTON, MA 02462-1650
(617) 796-3937
Mailing address
2000 WASHINGTON ST, WHITE 548, NEWTON, MA 02462-1650
(617) 796-3937

Taxonomy

Speciality
Code
Description
License number
State
207W00000X
Ophthalmology Physician
Primary
216909
MA

Other

Enumeration date
05/03/2006
Last updated
02/24/2012
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