Individual
MRS. KRISTEN MARIE GHERGUROVICH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
500 SALEM STREET, WOBURN MEDICAL ASSOCIATES PC, WILMINGTON, MA 01887
(978) 988-9255
(978) 694-9675
Mailing address
P.O. BOX 760, WINCHESTER, MA 01890-4260
(781) 756-7273
(781) 721-0725
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
209330
MA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0129950
—
MA
01
—
209330
TUFTS
—
01
—
J23621
BCBS
—
Enumeration date
11/17/2005
Last updated
06/12/2012
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