Individual
DR. NOOPUR SURESH RAJE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
55 FRUIT ST YAW 7, HEMATOLOGY/ONCOLOGY, BOSTON, MA 02114-2621
(617) 724-4000
Mailing address
PO BOX 9142, MASS. GENERAL PHYSICIAN ORGANIZATION, CHARLESTOWN, MA 02129-9142
(617) 724-4000
(617) 726-0453
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
215390
MA
207RH0000X
Hematology (Internal Medicine) Physician
215390
MA
207RX0202X
Medical Oncology Physician
Primary
215390
MA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
2102099
—
MA
01
—
468285
TUFTS HEALTH PLAN
MA
01
—
J28680
BCBS OF MA
MA
Enumeration date
11/30/2005
Last updated
03/17/2026
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