MEDICARE: DR. ESTHER OLIVA MD

Medicare Provider Information

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

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	207ZP0101X	Anatomic Pathology Physician	155382	MA

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	155382	OTHER	MA	TUFTS HEALTH PLAN
2	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
3	J18135	OTHER	MA	BCBS MA

NPI Number	:	1134110273
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. ESTHER OLIVA MD

Provider Business Mailing Address
First Line	:	PO BOX 9142
Second Line	:	MASS GENERAL PHYSICIAN ORGANIZATION
City	:	CHARLESTOWN
State	:	MA
Zip	:	02129-9142
Country	:	US
Telephone Number	:	617-724-0287
Fax Number	:	617-726-2894

Provider Business Practice Location Address
First Line	:	55 FRUIT ST
Second Line	:	PATHOLOGY ASSOCIATES WRN 2
City	:	BOSTON
State	:	MA
Zip	:	02114-2696
Country	:	US
Telephone Number	:	617-726-2967
Fax Number	:	617-726-7474

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

Provider Enumeration Date	:	10/28/2005
Last Update Date	:	03/18/2026

75 FRANCIS STREET , BRIGHAM INTERNAL MEDICARE ASSOCIATES
BOSTON, MA
02115

Practice Phone: 617-732-6049
Practice Fax: 617-264-5202

55 FRUIT ST
BOSTON, MA
02114-2696