Healthcare Provider Details

I. General information

NPI: 1437292828
Provider Name (Legal Business Name): ELIZABETH I BUCHBINDER M.D.
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 02/15/2007
Last Update Date: 11/13/2025
Certification Date: 11/13/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

55 FRUIT ST
BOSTON MA
02114-2621
US

IV. Provider business mailing address

21 GARDEN RD
WELLESLEY MA
02481-3018
US

V. Phone/Fax

Practice location:
  • Phone: 617-724-4000
  • Fax:
Mailing address:
  • Phone: 617-686-7125
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207RX0202X
TaxonomyMedical Oncology Physician
License Number230671
License Number StateMA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: