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Individual

MARA LINSCOTT

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
MD

Contact information

Practice address
5 TARKILN ROAD, KINGSTON, MA 02364-1250
(781) 585-2200
(781) 585-1784
Mailing address
5 TARKILN RD, KINGSTON, MA 02364-1250
(781) 585-2200
(781) 585-1784

Taxonomy

Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
242263
MA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
042297845
HCVM/FIRST HEALTH/COVENTRY
05
110084539A
MA
01
1457458614
FALLON
01
495210
TUFTS MEDICARE PREFERRED
01
6395310
CIGNA
01
7984860
AETNA
01
AA169440
HARVARD PILGRIM
01
J46719
BCBSMA
MA
Enumeration date
09/20/2006
Last updated
10/09/2012
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