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Individual

DR. GLENN MICHAEL LAMURAGLIA

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MD

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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