Individual
S. TED TREVES
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
75 FRANCIS ST, RADIOLOGY, BRIGHAM & WOMENS HOSPITAL, BOSTON, MA 02115-6110
(617) 732-6290
Mailing address
75 FRANCIS ST, RADIOLOGY, BRIGHAM & WOMENS HOSPITAL, BOSTON, MA 02115-6110
(617) 732-6290
Taxonomy
Speciality
Code
Description
License number
State
2085N0904X
Nuclear Radiology Physician
Primary
34066
MA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
034066
TUFTS HEALTH CARE
MA
05
—
2045494
—
MA
01
—
J22249
BLUE CROSS BLUE SHIELD
MA
Enumeration date
12/27/2005
Last updated
02/24/2011
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