Individual provider · Type 1 NPI

Ellen Michelle Leitman, MD, PhD

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

NPI number 1659831055 Active

Practice location

55 Fruit St
Boston, MA 02114-2696

Call (617) 650-9796 Map

Mailing address

8 Museum Way Apt 1027
Cambridge, MA 02141-1878

Specialties and licenses

TaxonomyCodeLicense
Diagnostic Radiology Physician 2085R0202X290392 (MA)
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 1659831055

Ellen Michelle Leitman, MD, PhD's National Provider Identifier is 1659831055, issued on Mar 21, 2019. 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 Apr 29, 2024.