Organization
BOSTON ULTRASOUND CONSULTANTS PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. MICHELE E TAILLON (BILLING MANAGER)
(617) 232-4600
Entity
Organization
Contact information
Practice address
55 POND AVE, SUITE 201E, BROOKLINE, MA 02445-7170
(617) 232-4600
Mailing address
55 POND AVE, SUITE 201E, BROOKLINE, MA 02445-7170
(617) 232-4600
Taxonomy
Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0007192
NEIGHBORHOOD HEALTH
MA
01
—
1600064
UNITED HEALTHCARE
MA
01
—
602943
HARVARD PILGRIM
MA
01
—
711720
TUFTS HEALTHPLAN
MA
05
—
9760431
—
MA
01
—
M14961
BLUE CROSS BLUE SHIELD
MA
Enumeration date
08/30/2006
Last updated
08/22/2020
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