Provider Demographics
NPI:1194706507
Name:FIRN, LEIGH M (MD)
Entity type:Individual
Prefix:DR
First Name:LEIGH
Middle Name:M
Last Name:FIRN
Suffix:
Gender:M
Credentials:MD
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Mailing Address - Street 1:25 CARLETON STREET
Mailing Address - Street 2:E23
Mailing Address - City:CAMBRIDGE
Mailing Address - State:MA
Mailing Address - Zip Code:02139-4307
Mailing Address - Country:US
Mailing Address - Phone:617-253-4988
Mailing Address - Fax:
Practice Address - Street 1:77 MASSACHUSETTS AVE
Practice Address - Street 2:MIT E23/225
Practice Address - City:CAMBRIDGE
Practice Address - State:MA
Practice Address - Zip Code:02139-4301
Practice Address - Country:US
Practice Address - Phone:617-253-4909
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2005-11-11
Last Update Date:2012-04-12
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
MA57872207R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
E60755Medicare UPIN