Individual
DR. JOAN R BUTTERTON
Active
Sole proprietor
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
55 FRUIT ST, BRB 5, BOSTON, MA 02114-2696
(617) 768-8730
(617) 768-8731
Mailing address
PO BOX 9142, CHARLESTOWN, MA 02129-9142
(617) 724-0287
(617) 726-2894
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
57966
MA
207RI0200X
Infectious Disease Physician
Primary
57966
MA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
3026850
—
MA
01
—
724129
TUFTS HEALTH PLAN
MA
01
—
J06713
BCBS MA
MA
Enumeration date
10/28/2005
Last updated
09/11/2025
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