Individual
DR. JOHN JOSEPH PURCELL
Active
Sole proprietor
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
55 FRUIT ST WRN 605, PSYCHIATRY ASSOCIATES INPATIENT CONSULT, BOSTON, MA 02114-2696
(617) 726-1736
(617) 726-5946
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
2084P0800X
Psychiatry Physician
Primary
40916
MA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
2072866
—
MA
01
—
715511
TUFTS HEALTH PLAN
MA
01
—
C26061
BCBS MA
MA
Enumeration date
11/15/2005
Last updated
07/08/2007
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