Organization
GREATER BOSTON GASTROENTEROLGY, PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
PAMELA BAKER (OFFICE MANAGER)
(508) 620-9200
Entity
Organization
Contact information
Practice address
475 FRANKLIN ST, SUITE 110, FRAMINGHAM, MA 01702-6264
(508) 620-9200
(508) 620-6483
Mailing address
475 FRANKLIN ST, SUITE 110, FRAMINGHAM, MA 01702-6264
(508) 620-9200
(508) 620-6483
Taxonomy
Speciality
Code
Description
License number
State
207RG0100X
Gastroenterology Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
3663248
CIGNA
MA
01
—
637393
TUFTS
MA
01
—
92401
FALLON
MA
05
—
9738487
—
MA
01
—
DB5286
RR MEDICARE
MA
01
—
M17578
BLUE CROSS BLUE SHIELD
MA
01
—
M21436
MEDICARE / PTAN
MA
Enumeration date
03/31/2011
Last updated
03/31/2011
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