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Individual

DR. GAIL M LOPRESTE

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
MD

Contact information

Practice address
55 FRUIT ST, WHT 1, BOSTON, MA 02114-2621
(617) 724-0287
Mailing address
PO BOX 9142, MASS GENERAL PHYSICIAN ORGANIZATION, CHARLESTOWN, MA 02129-9142
(617) 643-8100
(617) 643-8120

Taxonomy

Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
73341
MA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
073341
TUFTS HEALTH PLAN
MA
05
3120414
MA
01
J14461
BCBS MS
MA
Enumeration date
11/17/2005
Last updated
11/09/2012
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