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Individual

CARLA M OBERST

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
M.D.

Contact information

Practice address
147 MILK ST, BOSTON, MA 02109-4806
(617) 654-7000
(617) 482-3872
Mailing address
147 MILK ST, PROVIDER ENROLLMENT - 9TH FLOOR, BOSTON, MA 02109-4806
(617) 559-8374
(617) 421-3487

Taxonomy

Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
55660
MA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
0015289
NEIGHBORHOOD HEALTH
MA
01
055660
TUFTS
MA
05
3042847
MA
01
J08178
BLUE CROSS
MA
01
V431
HARVARD PILGRIM
MA
Enumeration date
06/21/2006
Last updated
07/08/2007
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