Individual
DR. LAUREN ORLOFF GLICKMAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
73 HIGH ST, CHARLESTOWN HEALTHCARE CENTER, CHARLESTOWN, MA 02129-3026
(617) 724-8135
(617) 724-8010
Mailing address
PO BOX 9142, MASS GENERAL PHYSICIAN ORGANIZATION, CHARLESTOWN, MA 02129-9142
(617) 724-8135
(617) 724-8010
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
154008
MA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
3166465
—
MA
01
—
758543
TUFTS HEALTH PLAN
MA
01
—
J17590
BCBS MA
MA
Enumeration date
10/27/2005
Last updated
02/14/2014
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