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Individual

DR. KERSTIN AMY OH

Active
Sole proprietor

Provider details

NPI number
Gender
F
Credential
MD

Contact information

Practice address
300 OCEAN AVE, REVERE HEALTHCARE CENTER, REVERE, MA 02151-3675
(781) 485-6024
(781) 485-6391
Mailing address
PO BOX 9142, MASS GENERAL PHYSICIAN ORGANIZATION, CHARLESTOWN, MA 02129-9142
(617) 724-0287
(617) 726-2894

Taxonomy

Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
151867
MA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
151867
TUFTS HEALTH PLAN
MA
05
3171213
MA
01
J16916
BCBS MA
MA
Enumeration date
11/15/2005
Last updated
07/08/2007
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