Individual
MIRIAM R HAVERKAMP
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
TUFTS MEDICAL CENTER, 800 WASHINGTON STREET, BOSTON, MA 02111
(617) 636-7001
Mailing address
39 ALGONQUIN RD, CHESTNUT HILL, MA 02467-1001
(617) 636-7001
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
234330
MA
Other
Enumeration date
09/26/2008
Last updated
09/26/2008
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