Individual
DR. HENRIK MALCHAU
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
55 FRUIT STREET YAW 3922, ORTHOPAEDIC ASSOCIATES, BOSTON, MA 02114-2696
(617) 726-3866
(617) 726-8770
Mailing address
PO BOX 9142, MASS GENERAL PHYSICIAN ORGANIZATION, CHARLESTOWN, MA 02129-9142
(617) 643-1322
(617) 726-8770
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
Primary
221030
MA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
469917
TUFTS HEALTH PLAN
MA
01
—
J28331
BCBS MA
MA
Enumeration date
03/01/2006
Last updated
12/18/2012
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