Individual provider · Type 1 NPI

Charlotte Leblang, MD

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

NPI number 1669105185 Active

Practice location

41 Mall Rd
Burlington, MA 01805-0001

Mailing address

21 Bradlee Rd Apt 42
Medford, MA 02155-3154

Specialties and licenses

TaxonomyCodeLicense
Student in an Organized Health Care Education/Training Program Primary 390200000X294048 (MA)

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 1669105185

Charlotte Leblang, MD's National Provider Identifier is 1669105185, issued on Jul 1, 2022. The primary taxonomy on file is Student in an Organized Health Care Education/Training Program (390200000X), and the practice location is in Burlington, MA. The record was last updated on Jul 23, 2022.