Individual
DR. IRENE C SOUTER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
55 FRUIT STREET, YAW 10-A VINCENT OB GYN REPRODUCTIVE MED & IVF, BOSTON, MA 02114
(617) 726-8868
(617) 724-8882
Mailing address
PO BOX 9142, MASS GENERAL PHYSICIAN ORGANIZATION, CHARLESTOWN, MA 02129-9142
Taxonomy
Speciality
Code
Description
License number
State
207V00000X
Obstetrics & Gynecology Physician
Primary
221561
MA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
2069351
—
MA
01
—
469740
TUFTS HEALTH PLAN
MA
01
—
J27654
BCBS MA
MA
Enumeration date
04/21/2006
Last updated
07/08/2007
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