Provider Demographics
NPI:1245379106
Name:FLEIT, STEVEN L (PA-C)
Entity Type:Individual
Prefix:MR
First Name:STEVEN
Middle Name:L
Last Name:FLEIT
Suffix:
Gender:M
Credentials:PA-C
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:326 CENTRAL STREET
Mailing Address - Street 2:
Mailing Address - City:ROWLEY
Mailing Address - State:MA
Mailing Address - Zip Code:01969-1315
Mailing Address - Country:US
Mailing Address - Phone:978-948-7327
Mailing Address - Fax:
Practice Address - Street 1:326 CENTRAL STREET
Practice Address - Street 2:
Practice Address - City:ROWLEY
Practice Address - State:MA
Practice Address - Zip Code:01969-1315
Practice Address - Country:US
Practice Address - Phone:978-948-7327
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2007-02-06
Last Update Date:2008-09-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MA748363AS0400X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363AS0400XPhysician Assistants & Advanced Practice Nursing ProvidersPhysician AssistantSurgical
Provider Identifiers
StateIdentifier IDID TypeIssuer
MAAP0298Medicare UPIN