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Individual

DR. CAROLINE BIRKS

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
MD

Contact information

Practice address
15 PARKMAN ST, BULFINCH MEDICAL GROUP, WANG 535, BOSTON, MA 02114-3117
(617) 724-6610
(617) 724-6649
Mailing address
PO BOX 9142, CHARLESTOWN, MA 02129-9142
(617) 724-6610
(617) 724-6649

Taxonomy

Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
213969
MA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
0198960
MA
01
410043
TUFTS HEALTH PLAN
MA
01
J24975
BCBS MA
MA
Enumeration date
10/25/2005
Last updated
02/11/2014
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