Provider Demographics
NPI:1275509150
Name:ZIR, LEONARD M (MD)
Entity Type:Individual
Prefix:
First Name:LEONARD
Middle Name:M
Last Name:ZIR
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
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Other - Credentials:
Mailing Address - Street 1:300 MOUNT AUBURN ST
Mailing Address - Street 2:SUITE 310
Mailing Address - City:CAMBRIDGE
Mailing Address - State:MA
Mailing Address - Zip Code:02138-5600
Mailing Address - Country:US
Mailing Address - Phone:617-497-1560
Mailing Address - Fax:617-497-1109
Practice Address - Street 1:300 MOUNT AUBURN ST
Practice Address - Street 2:SUITE 310
Practice Address - City:CAMBRIDGE
Practice Address - State:MA
Practice Address - Zip Code:02138-5600
Practice Address - Country:US
Practice Address - Phone:617-497-1560
Practice Address - Fax:617-497-1109
Is Sole Proprietor?:No
Enumeration Date:2006-02-28
Last Update Date:2011-04-22
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
MA34331207RC0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RC0000XAllopathic & Osteopathic PhysiciansInternal MedicineCardiovascular Disease
Provider Identifiers
StateIdentifier IDID TypeIssuer
MA6187188Medicaid
MAB32105OtherBCBS
MA034331OtherTUFTS
MA6187188Medicaid
MAB32105OtherBCBS