Individual
DR. EVA MICHELLE SELHUB
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
824 BOYLSTON ST, MIND/BODY MEDICAL INSTITUTE, CHESTNUT HILL, MA 02467-2508
(617) 991-0102
(617) 991-0112
Mailing address
PO BOPX 9142, MASS GENERAL PHYSICIANS ORGANIZATION INC, CHARLESTOWN, MA 02129-9142
(617) 724-0287
(617) 726-2894
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
152152
MA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
3166104
—
MA
01
—
J17746
BLUE CROSS BLUE SHIELD
MA
Enumeration date
05/19/2006
Last updated
07/08/2007
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