Individual
ANNE ELLSWORTH DANTZLER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
940 BELMONT ST, BLDG 2, 3RD FLOOR, WARD 2-3-B OR A310, VA BOSTON HEALTHCARE SYSTEM, BROCKTON DIVISION, BROCKTON, MA 02301-5596
(774) 826-1408
(774) 826-3217
Mailing address
250 HAMMOND POND PKWY, 410N, CHESTNUT HILL, MA 02467-1545
(617) 699-7642
Taxonomy
Speciality
Code
Description
License number
State
2084F0202X
Forensic Psychiatry Physician
44539
MA
2084P0015X
Psychosomatic Medicine Physician
44539
MA
2084P0800X
Psychiatry Physician
Primary
44539
MA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
J16409
BLUE CROSS/BLUE SHIELD
MA
Enumeration date
10/10/2006
Last updated
08/09/2012
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Contact us