Individual provider · Type 1 NPI

Chilan Bou Ghosson Leite, MD

Student in an Organized Health Care Education/Training Program · Boston, MA

NPI number 1619789922 Active

Practice location

75 Francis St
Boston, MA 02115-6106

Mailing address

484 2nd St Apt 3065
Everett, MA 02149-4428

Specialties and licenses

TaxonomyCodeLicense
Student in an Organized Health Care Education/Training Program Primary 390200000XNone listed

Student in an Organized Health Care Education/Training Program: An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.

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About NPI 1619789922

Chilan Bou Ghosson Leite, MD's National Provider Identifier is 1619789922, issued on Jan 23, 2025. The primary taxonomy on file is Student in an Organized Health Care Education/Training Program (390200000X), and the practice location is in Boston, MA. The record was last updated on Jan 23, 2025.