Individual
DR. SAMUEL BIELAK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
330 BROOKLINE AVENUE, BOSTON, MA 02215
(617) 667-4165
Mailing address
125 CEDAR STREET, NEWTON CENTER, MA 02459-1524
(617) 965-5788
Taxonomy
Speciality
Code
Description
License number
State
207V00000X
Obstetrics & Gynecology Physician
Primary
37654
MA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
79910000CO4695
BLUE CROSS/BLUE SHIELD
MA
Enumeration date
10/03/2006
Last updated
07/08/2007
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