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Individual

DR. LAURENCE EVANS DUCOMB

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
49 ROBINWOOD AVE, THE ARBOUR HOSPITAL, JAMAICA PLAIN, MA 02130
(617) 390-1410
(617) 390-1595
Mailing address
63 BRETTWOOD RD, BELMONT, MA 02478-2305
(617) 390-1410
(617) 390-1584

Taxonomy

Speciality
Code
Description
License number
State
2084P0802X
Addiction Psychiatry Physician
Primary
43588
MA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
3011755
MA
01
712373
TUFTS HEALTH PLAN
MA
01
B07169
BCBS MA
MA
Enumeration date
01/13/2006
Last updated
12/02/2015
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