Individual
MARY CHRISTINE BAILEY
Active
Sole proprietor
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
2014 WASHINGTON STREET, NEWTON, MA 02462
(617) 243-6040
(617) 243-6924
Mailing address
56 WOODCLIFF RD, NEWTON, MA 02461
(617) 965-7618
Taxonomy
Speciality
Code
Description
License number
State
207PP0204X
Pediatric Emergency Medicine (Emergency Medicine) Physician
Primary
73199
MA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
3078647
—
MA
01
—
436574
HP
—
01
—
731682
TUFTS
—
01
—
J11338
BLUE SHIELD
—
Enumeration date
03/27/2006
Last updated
07/08/2007
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