Individual
DR. ELIZABETH J ROURKE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
1 BROOKLINE PL STE 225, BROOKLINE, MA 02445
(857) 307-4400
(857) 307-4414
Mailing address
1 BROOKLINE PL STE 225, BROOKLINE, MA 02445-7294
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
219621
MA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
110036084A
—
MA
05
—
2035936
—
MA
01
—
469264
TUFTS HEALTH PLAN
MA
01
—
J27170
BCBS MA
MA
Enumeration date
11/10/2005
Last updated
02/28/2020
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