Individual
DR. THERESA CLAIRE MCLOUD
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
55 FRUIT ST, FND 2 RADIOLOGICAL ASSOCIATES, BOSTON, MA 02114-2621
(617) 724-4255
(617) 726-3077
Mailing address
PO BOX 9142, MASS GENERAL PHYSICIAN ORGANIZATION, CHARLESTOWN, MA 02129-9142
(617) 724-4255
(617) 726-3077
Taxonomy
Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
Primary
39326
MA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
2085518
—
MA
01
—
726351
TUFTS HEALTH PLAN
MA
01
—
M09200
BCBS MA
MA
Enumeration date
11/10/2005
Last updated
07/23/2012
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