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NPI Code Detail

MEDICARE: DR. KIRSTEN MEISINGER MD

MEDICARE: DR. KIRSTEN MEISINGER MD
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
1207Q00000XFamily Medicine Physician158761MA

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1215907092
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. KIRSTEN MEISINGER MD
Provider Business Mailing Address
First Line : 337 SOMERVILLE AVE
Second Line :
City : SOMERVILLE
State : MA
Zip : 02143-2914
Country : US
Telephone Number : 617-665-3370
Fax Number : 617-628-1288
Provider Business Practice Location Address
First Line : 337 SOMERVILLE AVE
Second Line : UNION SQUARE FAMILY HEALTH CENTER
City : SOMERVILLE
State : MA
Zip : 02143-2914
Country : US
Telephone Number : 617-665-3370
Fax Number : 617-625-1288
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 01/25/2006
Last Update Date : 12/02/2011

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Directions to “ DR. KIRSTEN MEISINGER MD” Practice Location

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