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Individual

DR. ANNE GAELYN KASMAR

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
MD

Contact information

Practice address
55 FRUIT ST, GRB 504, BOSTON, MA 02114-2621
(617) 726-3906
Mailing address
PO BOX 9142, MASS GENERAL PHYSICIAN ORGANIZATION, CHARLESTOWN, MA 02129-9142
(617) 726-3906
(617) 726-7653

Taxonomy

Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
218391
MA
207RI0200X
Infectious Disease Physician
Primary
218391
MA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
2012341
MA
01
206559
TUFTS HEALTH PLAN
MA
01
J26339
BCBS MA
MA
Enumeration date
11/02/2005
Last updated
02/12/2013
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