Individual
DR. LOUISE C IVERS
Active
Sole proprietor
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
55 FRUIT STREET GRJ 504, MASSACHUSETTS GENERAL HOSPITAL, BOSTON, MA 02114
(617) 726-3812
(617) 726-7416
Mailing address
PO BOX 9142, MASS GENERAL PHYSICIAN ORGANIZATION, CHARLESTOWN, MA 02129-9142
(617) 724-0287
(617) 726-2894
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
208858
MA
207RI0200X
Infectious Disease Physician
Primary
208858
MA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0143260
—
MA
01
—
208858
TUFTS HEALTH PLAN
MA
01
—
J23733
BCBS MA
MA
Enumeration date
02/08/2006
Last updated
09/11/2025
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