Leavitt, Marissa Brooke

Leavitt, Marissa Brooke is an individual health care provider with primary practice located at 588 Providence Hwy , Dedham MA 02026-6804. She recently has 2 registered licenses in different health care specialties including Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant, Allopathic & Osteopathic Physicians / Plastic Surgery. Allopathic & Osteopathic Physicians / Plastic Surgery is her primary health care specialty. Leavitt, Marissa Brooke can be contacted via phone (781) 708-9299.

Contact Information

Primary practice address
588 Providence Hwy Dedham MA 02026-6804
Phone: (781) 708-9299
Fax: (781) 708-9291
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant 363A00000X PA7865 Massachusetts
Allopathic & Osteopathic Physicians / Plastic Surgery 208200000X 022873-1 New York

Profile Details

NPI number 1548737281
LBN Legal business name Leavitt, Marissa Brooke
Credentials Physician's Assistant Certified (PA-C)
Entity Individual
Sole proprietor 1 No
Enumeration date Oct 31st, 2018
Last updated Sep 30th, 2021 - about 5 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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