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Individual

ANNICK DIANE VAN DEN ABBEELE

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
M.D.

Contact information

Practice address
44 BINNEY ST, RADIOLOGY, DANA FARBER CANCER INSTITUTE, BOSTON, MA 02115-6013
(617) 632-2595
(617) 582-8574
Mailing address
44 BINNEY ST, RADIOLOGY, DANA-FARBER CANCER INSTITUTE, BOSTON, MA 02115-6013
(617) 632-2595
(617) 582-8574

Taxonomy

Speciality
Code
Description
License number
State
207UN0902X
Nuclear Imaging & Therapy Physician
Primary
78394
MA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
3125084
MA
01
778060
TUFTS HEALTH CARE
MA
01
J30495
BLUE CROSS/BLUE SHIELD
MA
Enumeration date
09/27/2005
Last updated
10/01/2012
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