Provider Demographics
NPI:1750325106
Name:REMIS, LEON L (MD)
Entity Type:Individual
Prefix:
First Name:LEON
Middle Name:L
Last Name:REMIS
Suffix:
Gender:M
Credentials:MD
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Mailing Address - Street 1:1 WIDGER RD
Mailing Address - Street 2:#108
Mailing Address - City:MARBLEHEAD
Mailing Address - State:MA
Mailing Address - Zip Code:01945-2146
Mailing Address - Country:US
Mailing Address - Phone:781-631-8300
Mailing Address - Fax:781-639-9017
Practice Address - Street 1:1 WIDGER RD
Practice Address - Street 2:#108
Practice Address - City:MARBLEHEAD
Practice Address - State:MA
Practice Address - Zip Code:01945-2146
Practice Address - Country:US
Practice Address - Phone:781-631-8300
Practice Address - Fax:781-639-9017
Is Sole Proprietor?:No
Enumeration Date:2006-06-16
Last Update Date:2013-02-21
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
MA43135207W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207W00000XAllopathic & Osteopathic PhysiciansOphthalmology
Provider Identifiers
StateIdentifier IDID TypeIssuer
MAC04801OtherBCBS INDIVIDUAL
MA2063832Medicaid
MA9787216Medicaid
MAB20976001OtherCIGNA
MA0804675OtherUNITED
MA702233OtherTUFTS/SECURE HORIZONS
MA35119OtherDAVIS VISION
MA15824OtherHARVARD PILGRIM
MA304694OtherNEIGHBORHOOD HEALTH PLAN
MA180043848OtherRAILROAD MEDICARE
MAM16651OtherBCBS GROUP #
MAB20976001OtherCIGNA
MA35119OtherDAVIS VISION