Individual
DR. VICTORINE VINING MUSE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
55 FRUIT ST, FND 2, BOSTON, MA 02114-2696
(617) 724-4254
(617) 724-0046
Mailing address
PO BOX 9142, CHARLESTOWN, MA 02129-9142
(617) 724-4254
(617) 724-0046
Taxonomy
Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
Primary
71781
MA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
071781
TUFTS HEALTH PLAN
MA
05
—
3076806
—
MA
01
—
J10876
BCBS MA
MA
Enumeration date
11/07/2005
Last updated
07/31/2012
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