Individual
CHILAN BOU GHOSSON LEITE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
75 FRANCIS ST, BOSTON, MA 02115-6106
(617) 732-5500
Mailing address
484 2ND ST APT 3065, EVERETT, MA 02149-4428
(617) 501-2349
Taxonomy
Speciality
Code
Description
License number
State
390200000X
Student in an Organized Health Care Education/Training Program
Primary
—
—
Other
Enumeration date
01/23/2025
Last updated
01/23/2025
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