Individual
LAURENCE J. SLOSS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1101 BEACON ST, SUITE 703W, BROOKLINE, MA 02446-5539
(617) 738-6878
(617) 730-9915
Mailing address
1101 BEACON ST, SUITE 703W, BROOKLINE, MA 02446-5587
(617) 738-6878
(617) 730-9915
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
36075
MA
207RC0000X
Cardiovascular Disease Physician
Primary
36075
MA
2080P0202X
Pediatric Cardiology Physician
36075
MA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
2029367
—
MA
01
—
M08724
BC/BS
MA
Enumeration date
02/17/2006
Last updated
02/25/2011
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