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Individual

DR. NANCY LEE HARRIS

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
MD

Contact information

Practice address
55 FRUIT STREET, WRN 2 PATHOLOGY ASSOCIATES, BOSTON, MA 02114-2696
(617) 726-5155
(617) 726-9353
Mailing address
PO BOX 9142, MASS GENERAL PHYSICIAN ORGANIZATION, CHARLESTOWN, MA 02129-9142

Taxonomy

Speciality
Code
Description
License number
State
207ZP0102X
Anatomic Pathology & Clinical Pathology Physician
Primary
36009
MA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
036009
TUFTS HEALTH PLAN
MA
05
2091852
MA
01
J01190
BCBS MA
MA
Enumeration date
02/08/2006
Last updated
07/08/2007
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