Individual
DR. GLENN MICHAEL LAMURAGLIA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
15 PARKMAN ST, WAC 464, BOSTON, MA 02114-3117
(617) 726-6997
(617) 724-1921
Mailing address
PO BOX 9142, CHARLESTOWN, MA 02129-9142
(617) 726-6997
(617) 724-1921
Taxonomy
Speciality
Code
Description
License number
State
2086S0129X
Vascular Surgery Physician
Primary
49145
MA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
049145
TUFTS HEALTH PLAN
MA
05
—
3012255
—
MA
01
—
B39202
BCBS MA
MA
Enumeration date
10/25/2005
Last updated
07/19/2012
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