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Individual

RICHARD BROSTOFF

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
10 MUZZEY ST, LEXINGTON, MA 02421-5222
(781) 674-2069
Mailing address
10 MUZZEY ST, LEXINGTON, MA 02421-5222
(781) 674-2069

Taxonomy

Speciality
Code
Description
License number
State
103TP0016X
Prescribing (Medical) Psychologist
Primary

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
721057
TUFTS HEALTH PLAN
MA
01
J04143
BCBS MA
MA
Enumeration date
03/06/2007
Last updated
11/17/2015
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