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Individual

DR. MARIA LYNN BUTTOLPH

Active
Sole proprietor

Provider details

NPI number
Gender
F
Credential
MD PHD

Contact information

Practice address
185 CAMBRIDGE ST, SIMCHES RESEARCH CENTER, OCD UNIT, BOSTON, MA 02114-2696
(617) 726-6766
(617) 643-3080
Mailing address
PO BOX 9142, CHARLESTOWN, MA 02129-9142
(617) 724-0287
(617) 726-2894

Taxonomy

Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
Primary
58308
MA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
3118894
MA
01
717922
TUFTS HEALTH PLAN
MA
01
J06862
BCBS MA
MA
Enumeration date
12/07/2005
Last updated
07/08/2007
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