Individual
DR. PAMELA L FOLLETT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
800 WASHINGTON ST, BOSTON, MA 02111-1552
(617) 636-5356
Mailing address
800 WASHINGTON ST, BOSTON, MA 02111-1552
(617) 636-5356
Taxonomy
Speciality
Code
Description
License number
State
2084N0402X
Neurology with Special Qualifications in Child Neurology Physician
Primary
154426
MA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0176681
—
MA
01
—
110006270A
MEDICAID MMIS
MA
Enumeration date
07/16/2006
Last updated
09/04/2009
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