Individual
DR. IRMGARD BEHLAU
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
1380 SOLDIERS FIELD ROAD, 2ND FLOOR MAGGIE CUSTODIO, MOUNT AUBURN CAMBRIDGE INDEPENDENT PRACTICE ASSOCIATION, BRIGHTON, MA 02135
(617) 783-7200
(617) 787-1760
Mailing address
1380 SOLDIERS FIELD ROAD 2ND FLOOR MAGGIE CUSTODIO, MOUNT AUBURN CAMBRIDGE INDEPENDENT PRACTICE ASSOCIATION, BRIGHTON, MA 02135
(617) 499-5026
(617) 499-5453
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
75971
MA
207RI0200X
Infectious Disease Physician
Primary
75971
MA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
3185834
—
MA
01
—
792606
TUFTS HEALTH PLAN
MA
01
—
J19423
BCBS MA
MA
Enumeration date
08/16/2006
Last updated
01/06/2011
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