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Organization

BORIS BALSON, PC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
VERA CACCAVARO (OFFICE MANAGER)
(781) 933-3734
Entity
Organization

Contact information

Practice address
1180 BEACON ST STE 6A, BROOKLINE, MA 02446-3806
(617) 731-1203
Mailing address
50-56 BROADLAWN PARK APT 404, CHESTNUT HILL, MA 02467-3511
(617) 731-1203
(617) 731-8466

Taxonomy

Speciality
Code
Description
License number
State
207KI0005X
Clinical & Laboratory Immunology (Allergy & Immunology) Physician
Primary
151394
MA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
9786465
MA
01
M17374
BLUE CROSS
Enumeration date
03/07/2008
Last updated
01/26/2016
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