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Individual

MR. JOHN ALBERT LEACH

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
PA

Contact information

Practice address
WEST HAVEN VETERAN'S HOSPITAL, 950 CAMPBELL AVENUE, WEST HAVEN, CT 06516-2700
(203) 932-5711
(203) 867-7600
Mailing address
WEST HAVEN VETERAN'S HOSPITAL, 950 CAMPBELL AVE., WEST HAVEN, CT 06516-2700
(203) 932-5711
(203) 867-7600

Taxonomy

Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
000327
CT

Other

Enumeration date
10/12/2006
Last updated
07/08/2007
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