Vensel, Leslie A

Vensel, Leslie A is an individual health care provider with primary practice located at 40 2Nd Ave Suite 400, Waltham MA 02451-1132. She recently has only one registered license in Allopathic & Osteopathic Physicians / Internal Medicine, which is considered as her primary health care specialty. Vensel, Leslie A can be contacted via phone (781) 487-4350.

Contact Information

Primary practice address
40 2Nd Ave Suite 400 Waltham MA 02451-1132
Phone: (781) 487-4350
Fax: (781) 487-4351
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Internal Medicine 207R00000X 57348 Massachusetts

Profile Details

NPI number 1336139021
LBN Legal business name Vensel, Leslie A
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Oct 25th, 2005
Last updated Jun 3rd, 2014 - about 12 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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Identifiers

StateTypeNumberIssuer
All States NPI 1336139021 NPPES
Massachusetts MEDICAID 3054799
Massachusetts Other 713954
Massachusetts Other J09081

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