Individual
DR. THEODORE JOSEPH ONGARO
Active
Sole proprietor
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
55 FRUIT ST, GRB 1102, BOSTON, MA 02114-2621
(617) 726-3012
(617) 726-6131
Mailing address
PO BOX 9142, CHARLESTOWN, MA 02129-9142
(617) 724-0287
(617) 726-2894
Taxonomy
Speciality
Code
Description
License number
State
208800000X
Urology Physician
Primary
37270
MA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
037270
TUFTS HEALTH PLAN
MA
05
—
2021269
—
MA
01
—
B26211
BCBS MA
MA
Enumeration date
10/20/2005
Last updated
07/08/2007
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