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Individual

DR. ANNE KLIBANSKI

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
MD

Contact information

Practice address
ZERO EMERSON SUITE 112 EO 112, NEUROENDOCRINE, BOSTON, MA 02114
(617) 726-7948
(617) 726-5072
Mailing address
PO BOX 9142, MASS GENERAL PHYSICIAN ORGANIZATION, CHARLESTOWN, MA 02129-9142
(617) 726-7948
(617) 726-1241

Taxonomy

Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
43067
MA
207RE0101X
Endocrinology, Diabetes & Metabolism Physician
Primary
43067
MA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
0127922
MA
01
043067
TUFTS HEALTH PLAN
MA
01
B33620
BCBS MA
MA
Enumeration date
11/02/2005
Last updated
07/23/2012
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