Provider Demographics
NPI:1063702561
Name:DOYLE, LEONA A (MD)
Entity type:Individual
Prefix:DR
First Name:LEONA
Middle Name:A
Last Name:DOYLE
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Gender:F
Credentials:MD
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Mailing Address - Street 1:119 FREEMAN ST
Mailing Address - Street 2:APT 1
Mailing Address - City:BROOKLINE
Mailing Address - State:MA
Mailing Address - Zip Code:02446-3587
Mailing Address - Country:US
Mailing Address - Phone:617-470-4413
Mailing Address - Fax:617-566-3897
Practice Address - Street 1:75 FRANCIS ST
Practice Address - Street 2:DEPARTMENT OF PATHOLOGY AMORY 3
Practice Address - City:BOSTON
Practice Address - State:MA
Practice Address - Zip Code:02115-6110
Practice Address - Country:US
Practice Address - Phone:617-470-4413
Practice Address - Fax:617-566-3897
Is Sole Proprietor?:No
Enumeration Date:2011-04-18
Last Update Date:2017-01-09
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Provider Licenses
StateLicense IDTaxonomies
MA235765390200000X
MA248309207ZP0101X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207ZP0101XAllopathic & Osteopathic PhysiciansPathologyAnatomic Pathology
No390200000XStudent, Health CareStudent in an Organized Health Care Education/Training Program