Individual
LEONARD N AUSTIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
2 ESSEX CENTER DR, INTERNAL MEDICINE, PEABODY, MA 01960-2902
(978) 977-4210
(978) 977-4226
Mailing address
147 MILK ST, PROVIDER ENROLLMENT - 9TH FLOOR, BOSTON, MA 02109-4806
(617) 559-8374
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
43508
MA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
6167993
—
MA
Enumeration date
01/26/2006
Last updated
06/23/2011
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