Organization
LAURIE B. BOTIE, MD, PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. LAURIE B. BOTIE MD (PRESIDENT)
(978) 453-9272
Entity
Organization
Contact information
Practice address
600 CLARK RD, TEWKSBURY, MA 01876-1699
(978) 453-9272
(978) 970-1506
Mailing address
600 CLARK RD, TEWKSBURY, MA 01876-1699
(978) 453-9272
(978) 970-1506
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
46137
MA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
01-00704
UNITED HEALTHCARE
MA
01
—
30002667
MEDICAID NEW HAMPSHIRE
NH
01
—
56335
AETNA GROUP #
MA
01
—
6727439
CIGNA HEALTHCARE
MA
01
—
701208
TUFTS
MA
01
—
7662
HARVARD PILGRIM
MA
05
—
9778489
—
MA
01
—
M16427
BLUE CRS BL SHLD GROUP #
MA
Enumeration date
03/17/2007
Last updated
04/12/2012
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