Individual
INGER-MARIE R PU
Active
Sole proprietor
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
133 ORNAC, CONCORD, MA 01742
(978) 369-1400
(978) 287-3680
Mailing address
133 ORNAC, CONCORD, MA 01742
(978) 369-1400
(978) 287-3680
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
78784
MA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
206546
HARVARD PILGRIM HLTH PLAN
—
01
—
25876
FALLON
MA
01
—
737748
TUFTS HLTH PLAN
—
01
—
J30901
BCBS MA
MA
Enumeration date
05/23/2006
Last updated
07/08/2007
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