Individual
KENNETH A LEINBACH
Active
Sole proprietor
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
800 WASHINGTON ST, NORWOOD, MA 02062
(781) 769-2950
Mailing address
944 WASHINGTON ST, # 1, SOUTH EASTON, MA 02375-1177
(508) 238-8646
(508) 230-9772
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
50959
MA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
050959
TUFTS
MA
05
—
6177107
—
MA
01
—
J03070
BS
MA
Enumeration date
04/27/2006
Last updated
07/08/2007
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