NPI 1316419757

Leonardo Colon

Practitioner Driver Worcester, MA

Practice location

Address: 20 Benefit St, Worcester, MA 01610-1566
Phone: (617) 510-4055

Registered specialties

Driver Primary

Other Service Providers Taxonomy 172A00000X Licence S13982805 (MA)

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Registry record

NPI: 1316419757
Entity type: Individual
Sex (as registered): Male
NPI issued: 26 Dec 2018
Record last updated: 26 Dec 2018

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.