Provider Demographics
NPI:1760595805
Name:BORSETT-KANTER, LESLIE MARY (MD)
Entity type:Individual
Prefix:DR
First Name:LESLIE
Middle Name:MARY
Last Name:BORSETT-KANTER
Suffix:
Gender:F
Credentials:MD
Other - Prefix:DR
Other - First Name:LESLIE
Other - Middle Name:MARY
Other - Last Name:BORSETT
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:MD
Mailing Address - Street 1:8620 FENWAY DR
Mailing Address - Street 2:
Mailing Address - City:BETHESDA
Mailing Address - State:MD
Mailing Address - Zip Code:20817-2710
Mailing Address - Country:US
Mailing Address - Phone:412-980-8936
Mailing Address - Fax:
Practice Address - Street 1:8620 FENWAY DR
Practice Address - Street 2:
Practice Address - City:BETHESDA
Practice Address - State:MD
Practice Address - Zip Code:20817-2710
Practice Address - Country:US
Practice Address - Phone:412-980-8936
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2006-08-15
Last Update Date:2025-01-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
DCMD046858208000000X
KS0437974208000000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208000000XAllopathic & Osteopathic PhysiciansPediatrics
Provider Identifiers
StateIdentifier IDID TypeIssuer
PAUPIN C 13629Medicare UPIN