Theresa Marie Leak-Gonzalez in Newburyport - Internal Medicine

Theresa Marie Leak-Gonzalez - NPI 1679587265

Theresa Marie Leak-Gonzalez is a Internal Medicine in Newburyport, Massachusetts. Theresa Marie Leak-Gonzalez practices all healthcare services and medical treatments related to Internal Medicine. The NPI Number for Theresa Marie Leak-Gonzalez is 1679587265. The last update date is 2012-11-16.

Theresa Marie Leak-Gonzalez's current location address is 260 Merrimac St, Newburyport, Massachusetts. You can contact this provider via phone number 9784997200 and fax number 9784997216. The mailing address for Theresa Marie Leak-Gonzalez is 260 Merrimac St, Newburyport, Massachusetts. To know further, please read the information below!

Provider Profile Detail

Provider Name Theresa Marie Leak-Gonzalez
Address 260 Merrimac St, Newburyport, Massachusetts
Phone Number 9784997200
Fax Number 9784997216
Sole Proprietor N
Credentials MD

NPI Number Detail

NPI Number 1679587265
Provider Enumeration Date 2006-07-28
Last Updated Date 2012-11-16

Provider Mailing Address Detail

Address 260 Merrimac St
City Newburyport
State Massachusetts (MA)
Post Code 19502192
Phone Number 9784997200
Fax Number 9784997216

Provider's Primary Taxonomy Detail

Speciality Internal Medicine
Taxonomy 207R00000X
Licence No 235395
Definition:
A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and di

Provider's Other Legacy Identifiers

Identifier Identifier Type Identifier State Identifier Issuer
844040 CIGNA
1679587265 MA PHCS
J43036 MA BCBS
45415 MA NEIGHBORHOOD HEALTH PLAN
1679587265 MA AETNA
1679587265 NH ANTHEM
1679587265 MA UNITED HEALTHCARE
95347501 MA NETWORK HEALTH
AA120030 MA HPHC
P00983236 MA RR MEDICARE

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FAQs about Theresa Marie Leak-Gonzalez

What is the unique 10-digit identifier code assigned to Theresa Marie Leak-Gonzalez by the Centers for Medicare & Medicaid Services?

The Theresa Marie Leak-Gonzalez has been issued the NPI (National Provider Identifier) 1679587265 by the CMS (Centers for Medicare & Medicaid Services), which serves as a unique identification number for healthcare providers.

Could you please share the complete physical location address where Theresa Marie Leak-Gonzalez's facilities are situated?

The facilities of Theresa Marie Leak-Gonzalez are physically located at the following address: 260 Merrimac St, Newburyport, MA, 19502192.

What is Theresa Marie Leak-Gonzalez's specialized field of practice, and what is the corresponding taxonomy classification code?

The Theresa Marie Leak-Gonzalez's area of specialization is Internal Medicine, and the corresponding taxonomy code that categorizes this field of practice is 207R00000X.

When was the Theresa Marie Leak-Gonzalez's 1679587265 issued?

The Theresa Marie Leak-Gonzalez's 1679587265 was issued on 2006-07-28.

As of what date was the information pertaining to Theresa Marie Leak-Gonzalez, such as address, specialty, and other details, last reviewed and confirmed to be accurate?

The information related to Theresa Marie Leak-Gonzalez, including its address, specialty, and other relevant details, was last reviewed and confirmed to be accurate on 2012-11-16.

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