Organization
LAURENCE J. SLOSS, M.D.
Active
Organization
LAURENCE J. SLOSS, M.D.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. LAURENCE J SLOSS MD (PHYSICIAN OWNER)
(617) 738-6878
Entity
Organization
Contact information
Practice address
1101 BEACON ST, STE. 703W, BROOKLINE, MA 02446-5587
(617) 738-6878
(617) 730-9915
Mailing address
1101 BEACON ST, STE. 703W, BROOKLINE, MA 02446-5587
(617) 738-6878
(617) 730-9915
Taxonomy
Speciality
Code
Description
License number
State
207RC0000X
Cardiovascular Disease Physician
Primary
36075
MA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1952376519
INDIVIDUAL NPI
—
05
—
2029367
—
MA
01
—
25-04965
UHC
—
01
—
708600
TUFTS
MA
01
—
A66794BWHT
HPHC
MA
01
—
M08724
BCBS
MA
01
—
M18866
BCBS GROUP ID
MA
Enumeration date
05/09/2007
Last updated
08/22/2020
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