Provider Demographics
NPI:1376785022
Name:LEO, JOSHUA RYAN (MD, MPH)
Entity Type:Individual
Prefix:DR
First Name:JOSHUA
Middle Name:RYAN
Last Name:LEO
Suffix:
Gender:M
Credentials:MD, MPH
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Mailing Address - Street 1:111 CYPRESS ST
Mailing Address - Street 2:
Mailing Address - City:BROOKLINE
Mailing Address - State:MA
Mailing Address - Zip Code:02445-6002
Mailing Address - Country:US
Mailing Address - Phone:617-582-1191
Mailing Address - Fax:617-582-1175
Practice Address - Street 1:111 CYPRESS ST
Practice Address - Street 2:
Practice Address - City:BROOKLINE
Practice Address - State:MA
Practice Address - Zip Code:02445-6002
Practice Address - Country:US
Practice Address - Phone:617-582-1191
Practice Address - Fax:617-582-1175
Is Sole Proprietor?:No
Enumeration Date:2009-03-26
Last Update Date:2014-04-20
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
MA2497332084P0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2084P0800XAllopathic & Osteopathic PhysiciansPsychiatry & NeurologyPsychiatry