Avery, Laura Louise
Avery, Laura Louise is an individual health care provider with primary practice located at 55 Fruit St Radiological Associates Fnd 2, Boston MA 02114-2696. She recently has only one registered license in Allopathic & Osteopathic Physicians / Diagnostic Radiology, which is considered as her primary health care specialty. Avery, Laura Louise can be contacted via phone (617) 726-5244.Contact Information
Primary practice address
55 Fruit St Radiological Associates Fnd 2
Boston MA 02114-2696
Phone: (617) 726-5244
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Diagnostic Radiology | 2085R0202X | 219266 | Massachusetts |
Profile Details
| NPI number | 1356332944 |
|---|---|
| LBN Legal business name | Avery, Laura Louise |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Nov 2nd, 2005 |
| Last updated | Jul 8th, 2007 - about 17 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1356332944 | NPPES |
| Massachusetts | Other | 468144 | TUFTS HEALTH PLAN |
| Massachusetts | MEDICAID | 2101432 | TUFTS HEALTH PLAN |
| Massachusetts | Other | J28606 | TUFTS HEALTH PLAN |
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