Individual provider · Type 1 NPI

Leslie Diaz

Medical Physician Assistant · Waterbury, CT

NPI number 1083269575 Active

Practice location

141 E Main St
Waterbury, CT 06702-2310

Call (203) 574-9000 Map

Fax (203) 574-9006

Specialties and licenses

TaxonomyCodeLicense
Medical Physician Assistant Primary 363AM0700XNone listed

Medical Physician Assistant: Definition to come...

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About NPI 1083269575

Leslie Diaz's National Provider Identifier is 1083269575, issued on Aug 2, 2019. The primary taxonomy on file is Medical Physician Assistant (363AM0700X), and the practice location is in Waterbury, CT. The record was last updated on Aug 2, 2019.