NPI age
20 years
Enumerated 2006-02-03
Across 88 active pathology providers in Texas.
1 secondary location on file with NPPES.
| Type | Value | Notes |
|---|---|---|
| 01 (MA) | 071383 | TUFTS HEALTH PLAN |
| 05 (MA) | 3059634 | |
| 01 (MA) | J09465 | BCBS MA |
Part of a multi-provider practice. 1575 other active providers share this practice address in NPPES.
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