Individual
DR. ELIZABETH A. ELDREDGE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
55 FOGG RD, SOUTH WEYMOUTH, MA 02190-2432
(781) 340-8000
Mailing address
55 FOGG RD, WEYMOUTH, MA 02190-2432
(781) 624-8000
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
Primary
80363
MA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
275018
HARVARD PILGRIM
MD
05
—
3133052
—
MA
01
—
53077
FALLON
MA
01
—
758551
TUFTS HEALTH PLAN
MA
01
—
J31003
BLUE SHIELD
MA
Enumeration date
11/07/2005
Last updated
05/13/2021
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