Provider Demographics
NPI:1932193851
Name:LEEMAN, DAVID ELI (MD)
Entity Type:Individual
Prefix:DR
First Name:DAVID
Middle Name:ELI
Last Name:LEEMAN
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
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Other - Credentials:
Mailing Address - Street 1:41 ARLO RD
Mailing Address - Street 2:
Mailing Address - City:NEWTON
Mailing Address - State:MA
Mailing Address - Zip Code:02464-1002
Mailing Address - Country:US
Mailing Address - Phone:617-632-9204
Mailing Address - Fax:617-632-7533
Practice Address - Street 1:185 PILGRIM RD
Practice Address - Street 2:BAKER 4
Practice Address - City:BOSTON
Practice Address - State:MA
Practice Address - Zip Code:02215-5324
Practice Address - Country:US
Practice Address - Phone:617-632-9204
Practice Address - Fax:617-632-7533
Is Sole Proprietor?:No
Enumeration Date:2005-09-07
Last Update Date:2011-06-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MA55671207RC0000X, 207RI0011X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RI0011XAllopathic & Osteopathic PhysiciansInternal MedicineInterventional Cardiology
No207RC0000XAllopathic & Osteopathic PhysiciansInternal MedicineCardiovascular Disease
Provider Identifiers
StateIdentifier IDID TypeIssuer
MAJ07045Medicare ID - Type Unspecified