Individual
DR. LAURA LOUISE AVERY
Active
Sole proprietor
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
55 FRUIT ST, RADIOLOGICAL ASSOCIATES FND 2, BOSTON, MA 02114-2696
(617) 726-5244
Mailing address
PO BOX 9142, MASS GENERAL PHYSICIAN ORGANIZATION, CHARLESTOWN, MA 02129-9142
(617) 724-0287
(617) 726-2894
Taxonomy
Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
Primary
219266
MA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
2101432
—
MA
01
—
468144
TUFTS HEALTH PLAN
MA
01
—
J28606
BCBS MA
MA
Enumeration date
11/02/2005
Last updated
07/08/2007
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