Individual
LINDA A BISHOP
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
800 WASHINGTON ST, BOX 286 DEPT. OF PEDIATRICS, BOSTON, MA 02111-1552
(617) 636-5000
Mailing address
800 WASHINGTON ST, BOX 286 DEPT OF PEDIATRICS, BOSTON, MA 02111-1552
(617) 636-5000
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
45526
MA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
200384
HPHC
MA
05
—
2076098
—
MA
01
—
L15131
BCBS
MA
Enumeration date
04/08/2006
Last updated
04/28/2011
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