Individual
DR. LEI JIANG
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
403 BELMONT ST, WORCESTER, MA 01604-1019
(508) 425-2500
(508) 425-2600
Mailing address
403 BELMONT ST, WORCESTER, MA 01604-1019
(508) 425-2500
(508) 425-2600
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
12879
NH
207R00000X
Internal Medicine Physician
Primary
240535
MA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1760439277
—
MA
05
—
30205571
—
NH
01
—
RE4060
MEDICARE GROUP
NH
Enumeration date
05/28/2006
Last updated
02/23/2024
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