Search › Massachusetts › 207W00000X
Matthew Leidl, MD
NPI 1023377306 · on the registry since 2012 · sole proprietor
Practice
- Address
- 150 S Huntington Ave Fl 7
Boston, MA 02130 - Phone
- (857) 364-5795
- Organisation at this address
- Vha
Va Boston
Boston Vamc
Boston Vamc
Va Boston Healthcare CenterInferred from a shared address, not stated in the registry. - Clinicians at this address
- 453
Registry record
- Primary taxonomy
- 207W00000X
207W00000X
- Also registered as
- 207WX0009X
- Licence states on file
- MA
From the registry's licence fields, which are often incomplete.
- Sex
- Male
- Record last updated
- 2023-06-14
Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Massachusetts