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Individual

DR. EDITH STATEMAN GERINGER

Active
Sole proprietor

Provider details

NPI number
Gender
F
Credential
MD

Contact information

Practice address
15 PARKMAN ST, WAC 632, BOSTON, MA 02114-3117
(617) 726-7935
(617) 724-3415
Mailing address
PO BOX 9142, MASS. GENERAL PHYSICIAN ORGANIZATION, CHARLESTOWN, MA 02129-9142
(617) 724-0287
(617) 726-2894

Taxonomy

Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
Primary
51509
MA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
6187463
MA
01
724692
TUFTS HEALTH PLAN
MA
01
J04049
BCBS MA
MA
Enumeration date
02/13/2006
Last updated
07/08/2007
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