Individual
DR. MIEKO FUKUI
Active
Sole proprietor
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
15 PARKMAN STREET, WAC 626 ALLERGY ASSOCIATES, BOSTON, MA 02114-3117
(617) 726-3850
(617) 724-0239
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
207R00000X
Internal Medicine Physician
Primary
213106
MA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
2042771
—
MA
01
—
468961
TUFTS HEALTH PLAN
MA
01
—
J27402
BCBS MA
MA
Enumeration date
12/27/2005
Last updated
07/08/2007
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