Individual
LOUIS A BLEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
40 HOLLAND ST DEPT 9TH, SOMERVILLE, MA 02144-2705
(617) 654-7111
(617) 629-6248
Mailing address
40 HOLLAND ST DEPT 9TH, SOMERVILLE, MA 02144-2705
(617) 654-7111
(617) 629-6248
Taxonomy
Speciality
Code
Description
License number
State
207X00000X
Orthopaedic Surgery Physician
Primary
209427
MA
207XX0005X
Sports Medicine (Orthopaedic Surgery) Physician
209427
MA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0030342
NEIGHBORHOOD HEALTH
MD
01
—
011004
TUFTS HEALTH PLAN
MD
01
—
173946
HARVARD PILGRIM
MA
05
—
2013690
—
MA
01
—
3202277004
CIGNA
MA
01
—
J24425
BLUE CROSS BLUE SHIELD
MD
Enumeration date
10/16/2006
Last updated
01/28/2021
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