Unknown Individual – Family Medicine Physician, NPI 1104863687
Family Medicine Physician
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NPPES metrics only — not quality of care.
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Provider Addresses for Unknown Individual
PO Box 846028, Albany Street, Church Green, Financial District, Boston, Suffolk County, Massachusetts, 02284-6028, United States
BOSTON, MA 022418953
Phone:
Type: Mailing
Paper Mill Road, Fairwood of Hunt Valley, Phoenix, Baltimore County, Maryland, 21131, United States
PHOENIX, MD 211311419
Phone: (410) 666-4060
Type: Location
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
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Medicare Enrollment & Revalidation
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No Medicare enrollment or revalidation data available for this provider in our database.
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Medicare Utilization (FFS)
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No Medicare fee-for-service utilization data available for this provider in our database.
Insurance plans in this area (ZIP 02241)
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Provider's Procedures
Group practice members
| Name | Specialty | State |
|---|---|---|
| Critical Care (Intensivists), General Surgery | MD | |
| Physician Assistant | GA | |
| Critical Care (Intensivists), Hospitalist, Internal Medicine | MD | |
| N E U R O L O G Y | MD | |
| Critical Care (Intensivists), Internal Medicine | NJ | |
| Nurse Practitioner | MD | |
| O P H T H A L M O L O G Y | MD | |
| H O S P I T A L I S T | TN | |
| Sleep Medicine, Critical Care (Intensivists), Internal Medicine, Pulmonary Disease | MD | |
| N E U R O L O G Y | MD |
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