Individual
LESLIE COOPERSMITH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
133 SCOVILL ST, SUITE 101, WATERBURY, CT 06706-1127
(203) 709-5680
(203) 709-5688
Mailing address
56 FRANKLIN ST, 3RD FLOOR, WATERBURY, CT 06706-1221
(203) 709-8873
(203) 709-8689
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
028261
CT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
001282615
—
CT
Enumeration date
05/05/2006
Last updated
02/23/2013
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