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Individual

DR. PAULA KAREN RAUCH

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
MD

Contact information

Practice address
55 FRUIT ST, YAW 6900, BOSTON, MA 02114-2621
(617) 724-3923
(617) 726-5567
Mailing address
PO BOX 9142, MASS GENERAL PHYSICIAN ORGANIZATION, CHARLESTOWN, MA 02129-9142
(617) 724-5600
(617) 726-5567

Taxonomy

Speciality
Code
Description
License number
State
2084P0804X
Child & Adolescent Psychiatry Physician
Primary
51303
MA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
3045625
MA
01
724839
TUFTS HEALTH PLAN
MA
01
J02925
BCBS MA
MA
Enumeration date
10/27/2005
Last updated
07/31/2012
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