Individual
DR. LAURA J OLSON
Active
Sole proprietor
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
300 OCEAN AVE, REVERE HEALTH CARE CENTER RHC, REVERE, MA 02151-3675
(781) 485-6000
(781) 485-6392
Mailing address
PO BOX 9142, MASS GENERAL PHYSICIAN ORGANIZATION, CHARLESTOWN, MA 02129-9142
(617) 724-0287
(617) 726-2894
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
70597
MA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
070597
TUFTS HEALTH PLAN
MA
05
—
3082113
—
MA
01
—
J11049
BCBS MA
MA
Enumeration date
10/25/2005
Last updated
07/08/2007
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