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NPI Code Detail

MEDICARE: PAULA BOULANGER M.D.

MEDICARE: PAULA BOULANGER 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
1208000000XPediatrics Physician73272MA

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1678837OTHERHEALTHSOURCE
21154323251OTHERMAAETNA HMO
3MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
41154323251OTHERMAFALLON COMMUNITY HEALTH PLAN
5977342OTHERNETWORK HEALTH
60016275OTHERNEIGHBORHOOD HEALTH PLAN
7073272OTHERMATUFTS HEALTH PLAN
8J31637OTHERMABLUE CROSS BLUE SHIELD
9MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
10201427OTHERMAHARVARD PILGRIM HEALTHCAR
115327624OTHERCIGNA
125349131OTHERMAAETNA NON HMO
13G17620OTHERNHANTHEM BLUE CROSS

General Provider Information

NPI Number : 1154323251
Entity Type Code : Individual
Provider Name (Legal Business Name) : PAULA BOULANGER M.D.
Provider Business Mailing Address
First Line : 1 PARKWAY
Second Line :
City : HAVERHILL
State : MA
Zip : 01830-6278
Country : US
Telephone Number : 978-521-3230
Fax Number : 978-521-3256
Provider Business Practice Location Address
First Line : 1 PARKWAY
Second Line :
City : HAVERHILL
State : MA
Zip : 01830-6278
Country : US
Telephone Number : 978-521-3230
Fax Number : 978-521-3256
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 06/02/2005
Last Update Date : 11/21/2012

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Directions to “ PAULA BOULANGER M.D.” Practice Location

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