Laura J Olson MD

NPI 1093705642 - Internal Medicine - 207R00000X

NPI Details
NPI 1093705642
Gender Female
Enumeration Date 10/25/2005
Last Updated 07/08/2007
Entity Type Individual
Active Over 11 years ago
Practice Location
300 OCEAN AVE
REVERE HEALTH CARE CENTER RHC
REVERE MA, 02151-3675, US
Phone (781) 485-6000
Fax (781) 485-6392
Business Location
PO BOX 9142
MASS GENERAL PHYSICIAN ORGANIZATION
CHARLESTOWN MA, 02129-9142, US
Phone (617) 724-0287
Fax (617) 726-2894
Toxanomy
Taxonomy Code 207R00000X
License State Massachusetts
License Number 70597
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According to our database, Dr. Laura J Olson MD NPI is 1093705642, taxonomy code is 207R00000X and license number is 70597, license state is located at Massachusetts. Laura J Olson MD physically located at 300 Ocean Ave, Revere MA, 02151-3675. NPI Number Laura J Olson MD has the Individual type.

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1093705642 NPI number is provided on an as is basis without warranty of any kind. 1093705642 is maintained by the National Plan & Provider Enumeration System. The contents of Laura J Olson MD are for informational purposes only.