Individual
ELAHNA PAUL
Active
Sole proprietor
Provider details
NPI number
Gender
F
Credential
MD PHD
Contact information
Practice address
55 FRUIT ST, YAW 6, BOSTON, MA 02114-2621
(617) 726-2908
(617) 724-0581
Mailing address
PO BOX 9142, CHARLESTOWN, MA 02129-9142
(617) 724-0287
(617) 726-2894
Taxonomy
Speciality
Code
Description
License number
State
2080P0210X
Pediatric Nephrology Physician
Primary
208975
MA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0125130
—
MA
01
—
208975
TUFTS HEALTH PLAN
MA
01
—
J23368
BCBS MA
MA
Enumeration date
11/02/2005
Last updated
07/08/2007
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