Healthcare Provider Details

I. General information

NPI: 1780684092
Provider Name (Legal Business Name): CHRISTINE MCLAUGHLIN MD
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 07/28/2005
Last Update Date: 01/15/2014
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

725 CONCORD AVE STE 5200
CAMBRIDGE MA
02138-1040
US

IV. Provider business mailing address

725 CONCORD AVE
CAMBRIDGE MA
02138-1040
US

V. Phone/Fax

Practice location:
  • Phone: 617-864-8822
  • Fax: 617-864-0099
Mailing address:
  • Phone: 617-864-8822
  • Fax: 617-491-4692

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207RE0101X
TaxonomyEndocrinology, Diabetes & Metabolism Physician
License Number57196
License Number StateMA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: