Basic Information
Provider Information
NPI: 1780874495
EntityType: 1
ReplacementNPI:  
OrganizationName:  
LastName: MEISTERLING
FirstName: LEAH
MiddleName: D
NamePrefix: DR.
NameSuffix:  
Credential: D.O., MBA
OtherOrganizationName:  
OtherOrganizationType:  
OtherLastName:  
OtherFirstName:  
OtherMiddleName:  
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OtherCredential:  
OtherLastNameType:  
Mailing Information
Address1: 99 E RIVER DR
Address2: 5TH FLOOR
City: EAST HARTFORD
State: CT
PostalCode: 061087301
CountryCode: US
TelephoneNumber: 8602820833
FaxNumber: 8602820834
Practice Location
Address1: 80 SEYMOUR ST
Address2: DEPT OF ANESTHESIA
City: HARTFORD
State: CT
PostalCode: 061028000
CountryCode: US
TelephoneNumber: 8602824022
FaxNumber: 8602820834
Other Information
ProviderEnumerationDate: 07/29/2007
LastUpdateDate: 04/17/2021
NPIDeactivationReasonCode:  
NPIDeactivationDate:  
NPIReactivationDate:  
ProviderGenderCode: F
AuthorizedOfficialLastName:  
AuthorizedOfficialFirstName:  
AuthorizedOfficialMiddleName:  
AuthorizedOfficialTitleorPosition:  
AuthorizedOfficialTelephone:  
IsSoleProprietor: N
IsOrganizationSubpart:  
ParentOrganizationLBN:  
AuthorizedOfficialNamePrefix:  
AuthorizedOfficialNameSuffix:  
AuthorizedOfficialCredential:  
NPICertificationDate: 04/17/2021

Taxonomy Information
TaxonomyLicenseStateSwitchTaxonomyGroupTaxonomyTypeTaxonomyClassSubSpecialty
207L00000X047474CTY Allopathic & Osteopathic PhysiciansAnesthesiology 

No ID Information.


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