Individual
LAURA TERESA BOITANO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
981 WORCESTER ST STE A, WELLESLEY, MA 02482-3716
(781) 304-8838
Mailing address
981 WORCESTER ST STE A, WELLESLEY, MA 02482-3716
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
270591
MA
2086S0129X
Vascular Surgery Physician
Primary
270591
MA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
110106658A
—
MA
Enumeration date
06/06/2014
Last updated
12/03/2025
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