# DR. REBECCA KOLP

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- **Entity:** Individual
- **Status:** Active
- **Sole proprietor:** No

## Provider details

- **NPI number:** 1104816834
- **Gender:** F
- **Credential:** MD

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207V00000X | Obstetrics & Gynecology Physician | 208606 | MA | Yes |

## Other

- **Enumeration date:** 10/25/2005
- **Last updated:** 07/18/2012

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 05 | — | 0135861 | — | MA |
| 01 | — | 208606 | TUFTS HEALTH PLAN | MA |
| 01 | — | J23280 | BCBS MA | MA |