Individual
DR. CHRISTINA VESTERGAARD SCIRICA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
275 CAMBRIDGE ST., STE 530, MASS GENERAL HOSPITAL FOR CHILDREN, BOSTON, MA 02114-3130
(617) 726-8707
(617) 724-2803
Mailing address
PO BOX 9142, MASS GENERAL PHYSICIAN ORGANIZATION, CHARLESTOWN, MA 02129-9142
(617) 726-8707
(617) 724-2803
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
215952
MA
2080P0214X
Pediatric Pulmonology Physician
Primary
215952
MA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
2001853
—
MA
01
—
215952
TUFTS HEALTH PLAN
MA
01
—
J25803
BCBS MA
MA
Enumeration date
10/27/2005
Last updated
05/15/2012
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