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Individual

GEORGE R LESZNIK

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
25 RIDGEWOOD RD, SPRINGFIELD, VT 05156-3050
(802) 885-2151
(802) 885-2030
Mailing address
PO BOX 1351, BRATTLEBORO, VT 05302-1351
(802) 886-8950
(802) 885-2030

Taxonomy

Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
0101239439
VA
207L00000X
Anesthesiology Physician
Primary
042.0009961
VT
207L00000X
Anesthesiology Physician
2006-01580
NC
207L00000X
Anesthesiology Physician
25MA07056300
NJ
207L00000X
Anesthesiology Physician
27979
CO

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
1831112937
VA
Enumeration date
07/26/2006
Last updated
12/04/2013
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