NPI 1033423439

Tina Leonidas

Practitioner Specialist Brockton, MA

Practice location

Address: 801 Pleasant St, Brockton, MA 02301-3052
Phone: (508) 586-5977

Registered specialties

Specialist Primary

Other Service Providers Taxonomy 174400000X Licence S34559205 (MA)

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Registry record

NPI: 1033423439
Entity type: Individual
Sex (as registered): Female
NPI issued: 28 Jul 2010
Record last updated: 28 Jul 2010

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.