Individual
DR. PHYLLIS RUTH SELTER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
1601 WASHINGTON ST, BOSTON, MA 02118-1951
(617) 425-2000
Mailing address
1601 WASHINGTON ST, BOSTON, MA 02118-1951
(617) 425-2000
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
39885
MA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
AA14600
HARVARD PILGRIM
MA
01
—
J27001
BLUE CROSS BLUE SHIELD
MA
Enumeration date
11/01/2006
Last updated
07/08/2007
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