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Individual

ELIZABETH BUECHLER

Active
Sole proprietor
No

Provider details

NPI number
Gender
F

Contact information

Practice address
26 CITY HALL MALL, MEDFORD, MA 02155-4754
(781) 306-5304
(781) 306-5227
Mailing address
147 MILK ST, PROVIDER ENROLLMENT 9TH FLOOR, BOSTON, MA 02109-4806

Taxonomy

Speciality
Code
Description
License number
State
207V00000X
Obstetrics & Gynecology Physician
Primary
45340
MA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
0014786
NEIGHBORHOOD HEALTH PLAN
MA
01
045340
TUFTS HEALTH PLAN
MA
01
118A
HARVARD PILGRIM
MA
01
1331072
CIGNA
MA
05
2092379
MA
01
E05152
BLUE CROSS
MA
Enumeration date
04/25/2006
Last updated
06/23/2011
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