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Individual

DR. ALEC L MELEGER

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
125 NASHUA ST, SPAULDING REHAB HOSPITAL, BOSTON, MA 02114-1198
(781) 391-7518
(781) 391-1030
Mailing address
PO BOX 9142, MASS GENERAL PHYSICIAN ORGANIZATION, CHARLESTOWN, MA 02129-9142
(781) 391-7518
(781) 391-1030

Taxonomy

Speciality
Code
Description
License number
State
208100000X
Physical Medicine & Rehabilitation Physician
Primary
155429
MA
2081P2900X
Pain Medicine (Physical Medicine & Rehabilitation) Physician
155429
MA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
0139173
MA
01
155429
TUFTS HEALTH PLAN
MA
01
J23572
BCBS MA
MA
Enumeration date
11/21/2005
Last updated
08/10/2012
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