Tepas, Elizabeth C

Tepas, Elizabeth C is an individual health care provider with primary practice located at 15 Parkman St Wac 707, Boston MA 02114-3117. She recently has only one registered license in Allopathic & Osteopathic Physicians / Pediatric Allergy/Immunology, which is considered as her primary health care specialty. Tepas, Elizabeth C can be contacted via phone (617) 726-8707.

Contact Information

Primary practice address
15 Parkman St Wac 707 Boston MA 02114-3117
Fax: (617) 724-2803
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Pediatric Allergy/Immunology 2080P0201X 215218 Massachusetts

Profile Details

NPI number 1922099563
LBN Legal business name Tepas, Elizabeth C
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Nov 2nd, 2005
Last updated Jul 8th, 2007 - about 18 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1922099563 NPPES
Massachusetts MEDICAID 0196711
Massachusetts Other J24988
Massachusetts Other 215218

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