Provider Demographics
NPI:1497008049
Name:CONTRINO, LEAH (PA-C)
Entity Type:Individual
Prefix:
First Name:LEAH
Middle Name:
Last Name:CONTRINO
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Gender:F
Credentials:PA-C
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Other - Last Name Type:
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Mailing Address - Street 1:75 FRANCIS STREET, BRIGHAM AND WOMEN'S HOSPITAL
Mailing Address - Street 2:DEPARTMENT OF GYNECOLOGIC ONCOLOGY
Mailing Address - City:BOSTON
Mailing Address - State:MA
Mailing Address - Zip Code:02115-0000
Mailing Address - Country:US
Mailing Address - Phone:
Mailing Address - Fax:
Practice Address - Street 1:75 FRANCIS ST
Practice Address - Street 2:BRIGHAM AND WOMEN'S, DEPARTMENT OF GYNECOLOGIC ONCOLOGY
Practice Address - City:BOSTON
Practice Address - State:MA
Practice Address - Zip Code:02115-6110
Practice Address - Country:US
Practice Address - Phone:617-732-8843
Practice Address - Fax:617-738-5124
Is Sole Proprietor?:No
Enumeration Date:2012-10-19
Last Update Date:2012-10-19
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
MAPA4444363A00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363A00000XPhysician Assistants & Advanced Practice Nursing ProvidersPhysician Assistant