Individual
THERESIA M BAJUSZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
1101 BEACON STREET, 7 EAST, BROOKLINE, MA 02446
(617) 734-2202
(617) 264-9690
Mailing address
ONE CHARLES SOUTH, 8E, BOSTON, MA 02116
(617) 262-0252
Taxonomy
Speciality
Code
Description
License number
State
207KA0200X
Allergy Physician
Primary
32695
MA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
M08592
BCBS
—
Enumeration date
11/02/2006
Last updated
07/08/2007
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