Individual provider · Type 1 NPI
Leighla Dergham
Medical Physician Assistant · Boston, MA
NPI number
1861208829
Active
Practice location
136 Harrison Ave
Boston, MA 02111-1817
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Medical Physician Assistant Primary | 363AM0700X | None listed |
Medical Physician Assistant: Definition to come...
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About NPI 1861208829
Leighla Dergham's National Provider Identifier is 1861208829, issued on Dec 5, 2024. The primary taxonomy on file is Medical Physician Assistant (363AM0700X), and the practice location is in Boston, MA. The record was last updated on May 14, 2026.