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Individual

DR. VIBHA SHARMA

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
M.D.

Contact information

Practice address
157 UNION ST, MARLBOROUGH, MA 01752-1228
(508) 481-0080
(508) 486-5708
Mailing address
PO BOX 415348, BOSTON, MA 02241-5348
(800) 225-8885
(508) 334-1977

Taxonomy

Speciality
Code
Description
License number
State
174400000X
Specialist
222631
MA
207RI0200X
Infectious Disease Physician
Primary
222631
MA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
110039893
MA
01
201846974
FEDERAL TAX ID
MA
01
467768
TUFTS HEALTH PLAN
MA
01
92990
FALLON COMMUNITY HEALTH P
MA
01
AA24610
HARVARD PILGRIM HEALTH CA
MA
01
J28380
BLUE CROSS BLUE SHIELD
MA
Enumeration date
12/07/2005
Last updated
11/16/2020
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