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Individual

DR. HOWARD MARK HELLER

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
77 MASSACHUSETTS AVE, E 23 MASSACHUSETTS INSITUTE OF TECHNOLOGY, CAMBRIDGE, MA 02139-4301
(617) 253-1615
(617) 258-0437
Mailing address
77 MASSACHUSETTS AVE, E 23 MASSACHUSETTS INSITUTE OF TECHNOLOGY, CAMBRIDGE, MA 02139-4301
(617) 253-1615
(617) 258-0437

Taxonomy

Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
74425
MA
207RI0200X
Infectious Disease Physician
74425
MA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
074425
TUFTS HEALTH PLAN
MA
05
3080935
MA
01
J11283
BCBS MA
MA
Enumeration date
10/25/2005
Last updated
10/11/2011
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