Individual
ELLEN SPAR
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
133 BROOKLINE AVE, INTERNAL MEDICINE, BOSTON, MA 02215-3904
(617) 421-8843
(617) 421-2040
Mailing address
133 BROOKLINE AVE, INTERNAL MEDICINE, BOSTON, MA 02215
(617) 421-8843
(617) 421-2040
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
72200
MA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0022901
NEIGHBORHOOD HEALTH
MA
05
—
3066037
—
MA
01
—
714652
TUFTS
MA
01
—
HV0023
HARVARD PILGRIM
MA
01
—
J09716
BLUE CROSS
MA
Enumeration date
05/17/2006
Last updated
11/17/2020
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