MEDICARE: DR. HERBERT BOERSTLING M.D.

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	208000000X	Pediatrics Physician	31636	MA
2	208M00000X	Hospitalist Physician	31636	MA

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	PP104	OTHER	MA	HARVARD PILGRIM HEALTH
2	B11441	OTHER	MA	BLUE CROSS
3	0023650	OTHER	MA	NEIGHBORHOOD HEALTH PLAN
4	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
5	031636	OTHER	MA	TUFTS HEALTH PLAN
6	8090525-002	OTHER	MA	CIGNA

General Provider Information

NPI Number	:	1285619155
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. HERBERT BOERSTLING M.D.

Provider Business Mailing Address
First Line	:	147 MILK ST
Second Line	:	PROVIDER ENROLLMENT - 9TH FLOOR
City	:	BOSTON
State	:	MA
Zip	:	02109-4806
Country	:	US
Telephone Number	:	617-559-8053
Fax Number	:	617-421-3487

Provider Business Practice Location Address
First Line	:	333 LONGWOOD AVE
Second Line	:	CHILDREN'S HOSPITAL
City	:	BOSTON
State	:	MA
Zip	:	02115-5711
Country	:	US
Telephone Number	:	617-355-8732
Fax Number	:	617-277-8934

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	12/13/2005
Last Update Date	:	09/11/2025

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Directions to “ DR. HERBERT BOERSTLING M.D.” Practice Location

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