Individual
DR. JOSEPH AVRUCH
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
55 FRUIT STREET, WEL 8, BOSTON, MA 02114-2696
(617) 726-6909
(617) 726-5649
Mailing address
PO BOX 9142, MASS GENERAL PHYSICIAN ORGANIZATION, CHARLESTOWN, MA 02129-9142
(617) 726-8722
(617) 724-8534
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
34547
MA
207RE0101X
Endocrinology, Diabetes & Metabolism Physician
Primary
34547
MA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
2008513
—
MA
01
—
724170
TUFTS HEALTH PLAN
MA
01
—
M08304
BCBS MA
MA
Enumeration date
10/28/2005
Last updated
12/06/2012
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