Individual
DR. JULIANNE BACSIK
Active
Sole proprietor
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
300 LONGWOOD AVE, BOSTON, MA 02115-5724
(617) 355-7759
Mailing address
40 PROSPECT HILL RD, LEXINGTON, MA 02421-6910
(781) 674-2808
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
Primary
58402
MA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
3058999
—
MA
Enumeration date
03/01/2006
Last updated
07/08/2007
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