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Individual

DR. KAYLA ZOMLEFER

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
MD

Contact information

Practice address
55 FRUIT ST, MEDICAL ACCESS UNIT BAR 9, BOSTON, MA 02114-2696
(617) 724-3874
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
207R00000X
Internal Medicine Physician
Primary
213197
MA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
2019591
MA
01
468502
TUFTS HEALTH PLAN
MA
01
J26694
BCBS MA
MA
Enumeration date
11/18/2005
Last updated
03/29/2010
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