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EDMUND SAULIUS CIBAS

Active
Sole proprietor

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
75 FRANCIS ST, BRIGHAM AND WOMENS HOSPITAL DEPT OF PATHOLOGY, BOSTON, MA 02115
(617) 732-6797
Mailing address
75 FRANCIS ST, BRIGHAM AND WOMENS HOSPITAL DEPT OF PATHOLOGY, BOSTON, MA 02115
(617) 732-6797

Taxonomy

Speciality
Code
Description
License number
State
207ZP0101X
Anatomic Pathology Physician
Primary
54212
MA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
07220029912
RRM GROUP SPECIFIC PROVID
01
07A59029BWHT
HARVARD PILGRIM HEALTH CA
01
1100036
UHC NUMBER
01
2382808
AETNA US HEALTH #
01
6419602
CIGNA NUMBER
01
730580
TUFTS PROVIDER NUMBER
01
J06277
BLUE SHIELD ID #
Enumeration date
03/10/2006
Last updated
07/08/2007
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