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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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