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Organization
BURLINGTON OB-GYN ASSOC INC
Active
Organization
BURLINGTON OB-GYN ASSOC INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
PETER ROTOLO MD (OWNER)
(781) 272-4667
Entity
Organization
Contact information
Practice address
101 CAMBRIDGE STREET, BURLINGTON, MA 01803
(781) 272-4667
(781) 270-4196
Mailing address
101 CAMBRIDGE STREET, BURLINGTON, MA 01803
(781) 272-4667
(781) 270-4196
Taxonomy
Speciality
Code
Description
License number
State
207V00000X
Obstetrics & Gynecology Physician
Primary
—
NULL
207V00000X
Obstetrics & Gynecology Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
705594
TUFTS
—
05
—
9720286
—
MA
01
—
M10928
BXBS
—
Enumeration date
04/03/2006
Last updated
01/18/2008
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