Individual
IDA E. ZARRAGA-FORSYTH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
10 GOVE ST, EAST BOSTON, MA 02128-1920
(617) 569-5800
(617) 568-4780
Mailing address
10 GOVE ST, EAST BOSTON, MA 02128-1920
(617) 569-5800
(617) 568-4780
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
223058
MA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
2112841
—
MA
01
—
223058
MA PHYSICIAN LIC NUMBER
MA
01
—
263469
ABIM CERT NUMBER
—
01
—
486908
TUFTS HEALTH PLAN
MA
01
—
J29557
BCBSMA PROVIDER ID
MA
Enumeration date
07/11/2006
Last updated
03/07/2023
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