Individual
DR. ERIC DAVID LESKOWITZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
125 NASHUA ST, SRH SPAULDING REHAB HOSPITAL, BOSTON, MA 02114-1198
(617) 573-2622
(617) 573-2489
Mailing address
PO BOX 9142, MASS GENERAL PHYSICIAN ORGANIZATION, CHARLESTOWN, MA 02129-9142
(617) 573-2622
(617) 573-2489
Taxonomy
Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
Primary
51127
MA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
3064310
—
MA
01
—
716146
TUFTS HEALTH PLAN
MA
01
—
J02576
BCBS MA
MA
Enumeration date
10/28/2005
Last updated
07/24/2012
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