Provider Demographics
NPI:1467849828
Name:SAMET, VERONICA LEA (MD)
Entity type:Individual
Prefix:DR
First Name:VERONICA
Middle Name:LEA
Last Name:SAMET
Suffix:
Gender:F
Credentials:MD
Other - Prefix:DR
Other - First Name:VERONICA
Other - Middle Name:LEA
Other - Last Name:NOVOSAD
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:MD
Mailing Address - Street 1:9 HOPE AVE STE 500
Mailing Address - Street 2:
Mailing Address - City:WALTHAM
Mailing Address - State:MA
Mailing Address - Zip Code:02453-2761
Mailing Address - Country:US
Mailing Address - Phone:781-647-6700
Mailing Address - Fax:781-647-6755
Practice Address - Street 1:12 EXECUTIVE PARK DR NE
Practice Address - Street 2:
Practice Address - City:ATLANTA
Practice Address - State:GA
Practice Address - Zip Code:30329-2206
Practice Address - Country:US
Practice Address - Phone:404-727-5157
Practice Address - Fax:404-727-4746
Is Sole Proprietor?:No
Enumeration Date:2015-04-22
Last Update Date:2019-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MA2792332084P0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2084P0800XAllopathic & Osteopathic PhysiciansPsychiatry & NeurologyPsychiatry