Individual
DR. MEREDITH AUGUST
Active
Sole proprietor
Provider details
NPI number
Gender
F
Credential
DMD MD
Contact information
Practice address
15 PARKMAN ST, WAC 230 ORAL AND MAXILLOFACIAL SURGERY, BOSTON, MA 02114-3117
(617) 726-2740
(617) 726-2814
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
204E00000X
Oral & Maxillofacial Surgery (D.M.D.)
Primary
58611
MA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
3025888
—
MA
01
—
716762
TUFTS HEALTH PLAN
MA
01
—
X05819
BCBS MA
MA
Enumeration date
11/21/2005
Last updated
07/08/2007
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