Individual provider · NPI-1

Dr. Haley Leesley, M.D.

Thoracic Surgery (Cardiothoracic Vascular Surgery) · Providence, RI

NPI number1730539313
StatusActive
Last updated in NPPESJul 10, 2023

Details

NPI
1730539313
Entity type
Individual (NPI-1)
Name
Dr. Haley Leesley
Credential
M.D.
Sex
Female
Sole proprietor
No
Enumeration date
Jun 15, 2016
Certification date
Jul 10, 2023
Last updated
Jul 10, 2023

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
208G00000X Thoracic Surgery (Cardiothoracic Vascular Surgery)MD19364RIYes
208600000X SurgeryLP03807RI

Practice location

2 Dudley St Ste 470
Providence, RI 02905-3248

Phone 401-553-8320 · Fax 401-868-2322

Mailing address

Po Box 16149
Rumford, RI 02916-0697

Phone 401-453-9625 · Fax 401-435-7069

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