Individual
DR. ALLAN ENRIQUE PINEDA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
15 PARKMAN ST, INTERNAL MEDICINE ASSOCIATES TEAM I, BOSTON, MA 02114-3117
(617) 724-0909
(617) 724-3843
Mailing address
PO BOX 9142, MASS GENERAL PHYSICIAN ORGANIZATION, CHARLESTOWN, MA 02129-9142
(617) 724-0909
(617) 724-3843
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
54763
MA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
054763
TUFTS HEALTH PLAN
MA
05
—
3000770
—
MA
01
—
J06112
BCBS MA
MA
Enumeration date
10/25/2005
Last updated
07/03/2014
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