Individual
DR. EVA D PATALAS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
1493 CAMBRIDGE ST, CAMBRIDGE, MA 02139-1047
(617) 665-1220
(617) 665-1205
Mailing address
55 FRUIT ST, RPH, BOSTON, MA 02114-2621
(617) 724-0287
(617) 726-2894
Taxonomy
Speciality
Code
Description
License number
State
207ZF0201X
Forensic Pathology Physician
153678
MA
207ZP0102X
Anatomic Pathology & Clinical Pathology Physician
Primary
153678
MA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
153678
TUFTS HEALTH PLAN
MA
05
—
3189643
—
MA
01
—
J19696
BCBS MA
MA
Enumeration date
01/18/2006
Last updated
11/22/2011
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