Individual
DR. ELIZABETH C TEPAS
Active
Sole proprietor
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
15 PARKMAN ST, WAC 707, BOSTON, MA 02114-3117
(617) 726-8707
(617) 724-2803
Mailing address
PO BOX 9142, CHARLESTOWN, MA 02129-9142
(617) 724-0287
(617) 726-2894
Taxonomy
Speciality
Code
Description
License number
State
2080P0201X
Pediatric Allergy/Immunology Physician
Primary
215218
MA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0196711
—
MA
01
—
215218
TUFTS HEALTH PLAN
MA
01
—
J24988
BCBS MA
MA
Enumeration date
11/02/2005
Last updated
07/08/2007
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