Individual
LAURA D TREMBLAY
Active
Sole proprietor
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
291 INDEPENDENCE DR, CHESTNUT HILL, MA 02467-3628
(617) 325-2800
(617) 541-7500
Mailing address
147 MILK ST, PROVIDER ENROLLMENT - 9TH FLOOR, BOSTON, MA 02109-4806
(617) 559-8374
(617) 421-3487
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
206062
MA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0021751
NEIGHBORHOOD HEALTH
MA
05
—
0104451
—
MA
01
—
206062
TUFTS
MA
01
—
HV0132
HARVARD PILGRIM
MA
01
—
J23035
BLUE CROSS
MA
Enumeration date
05/16/2006
Last updated
07/08/2007
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