Individual
DR. PAUL JOSEPH HEINZELMANN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
15 PARKMAN ST WAC 1, MEDICAL WALK IN UNIT, BOSTON, MA 02114-3117
(617) 726-2707
Mailing address
25 NEW CHARDON ST, # 5917, BOSTON, MA 02114-4774
(262) 349-0126
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
213565
MA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
2076977
—
MA
01
—
469545
TUFTS HEALTH PLAN
MA
01
—
J27870
BCBS MA
MA
Enumeration date
12/08/2005
Last updated
08/29/2012
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