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Individual

DR. LAURA A DRUBACH

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
MD

Contact information

Practice address
300 LONGWOOD AVE, BOSTON, MA 02115-5724
(617) 355-6293
Mailing address
32 FOREST AVE, AUBURNDALE, MA 02466-2804
(617) 527-6027

Taxonomy

Speciality
Code
Description
License number
State
207U00000X
Nuclear Medicine Physician
Primary
150214
MA
2080P0204X
Pediatric Emergency Medicine (Pediatrics) Physician
150214
MA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
3197040
MA
Enumeration date
12/08/2006
Last updated
08/20/2015
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