Organization
PULMONARY ASSOCIATES OF GREATER BOSTON
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DEBORAH A GREEN (OFFICE MANAGER)
(617) 394-7608
Entity
Organization
Contact information
Practice address
103 GARLAND ST, EVERETT, MA 02149-5066
(617) 389-4666
(617) 381-7118
Mailing address
103 GARLAND ST, EVERETT, MA 02149-5066
(617) 389-4666
(617) 381-7118
Taxonomy
Speciality
Code
Description
License number
State
207RP1001X
Pulmonary Disease Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
9724516
—
MA
01
—
M14376
BCBS GROUP NUMBER
MA
Enumeration date
07/05/2006
Last updated
08/22/2020
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