Individual
DR. TOLGA ATILLA CERANOGLU
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
55 FRUIT ST YAW 6A, CHILD & ADOLESCENT PSYCHIATRY, BOSTON, MA 02114
(617) 726-2727
(617) 726-5567
Mailing address
PO BOX 9142, MASS GENERAL PHYSICIAN ORGANIZATION, CHARLESTOWN, MA 02129-9142
(617) 726-2727
(617) 726-5567
Taxonomy
Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
Primary
215949
MA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
2102218
—
MA
01
—
478724
TUFTS HEALTH PLAN
MA
01
—
J27227
BCBS MA
MA
Enumeration date
03/10/2006
Last updated
01/03/2013
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