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1932105954
GERALD LEONARD
FARMINGTON, CT
NPI
1932105954
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
207Y00000X Otolaryngology
(Licence: CT 023559)
Enumeration Date
2005-06-23
Last Update Date
2012-07-02
Business Address
-- GERALD LEONARD MD
263 FARMINGTON AVE ENT (OTOLARYNGOLOGY)
FARMINGTON, CT 06030-0001
Phone number: 860-679-2804
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Mailing Address
-- GERALD LEONARD MD
263 FARMINGTON AVE PROVIDER ENROLLMENT
FARMINGTON, CT 06030-2212
Phone number: 860-679-7503
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