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Individual

CARA M. DEWEY

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
PT

Contact information

Practice address
133 BROOKLINE AVE, BOSTON, MA 02215-3904
(617) 421-1347
Mailing address
147 MILK ST, PROVIDER ENROLLMENT, 9TH FLOOR, BOSTON, MA 02109-4806
(617) 559-8051

Taxonomy

Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
16006
MA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
0026867
NEIGHBORHOOD HEALTH PLAN
MA
05
0397504
MA
01
B501027
CIGNA
MA
01
HV0001
HARVARD PILGRIM
MA
01
P00074237
MEDICARE RAILROAD
MA
01
Y68040
BLUE CROSS
MA
01
Y6894701
MEDICARE PTAN
MA
Enumeration date
04/10/2006
Last updated
12/29/2008
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