Individual
JACK LEUNG
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PA
Contact information
Practice address
123 SUMMER ST, WORCESTER, MA 01608-1216
(508) 363-8688
Mailing address
123 SUMMER ST, WORCESTER, MA 01608-1216
(508) 363-5000
(508) 363-7551
Taxonomy
Speciality
Code
Description
License number
State
363AM0700X
Medical Physician Assistant
Primary
—
MA
Other
Enumeration date
07/01/2013
Last updated
08/28/2014
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