Provider Demographics
NPI:1356334700
Name:PINTO, LEONARD F JR (DPM)
Entity type:Individual
Prefix:DR
First Name:LEONARD
Middle Name:F
Last Name:PINTO
Suffix:JR
Gender:M
Credentials:DPM
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:20 EAST ST
Mailing Address - Street 2:
Mailing Address - City:HANOVER
Mailing Address - State:MA
Mailing Address - Zip Code:02339-1638
Mailing Address - Country:US
Mailing Address - Phone:781-826-1150
Mailing Address - Fax:781-826-6052
Practice Address - Street 1:20 EAST ST
Practice Address - Street 2:
Practice Address - City:HANOVER
Practice Address - State:MA
Practice Address - Zip Code:02339-1638
Practice Address - Country:US
Practice Address - Phone:781-826-1150
Practice Address - Fax:781-826-6052
Is Sole Proprietor?:Yes
Enumeration Date:2005-08-31
Last Update Date:2008-06-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MA1437213E00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes213E00000XPodiatric Medicine & Surgery Service ProvidersPodiatrist
Provider Identifiers
StateIdentifier IDID TypeIssuer
MAY70569OtherBLUE CROSS BLUE SHIELD
MA33025OtherHARVARD PILGRIM HEALTH CA
MA712641OtherTUFTS HEALTH PLAN
MA712641OtherTUFTS HEALTH PLAN
Y70569Medicare PIN