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NPI Code Detail

MEDICARE: ELIZABETH A DUPUIS M.D.

MEDICARE: ELIZABETH A DUPUIS 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
1207R00000XInternal Medicine Physician157965MA

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 : 1255317061
Entity Type Code : Individual
Provider Name (Legal Business Name) : ELIZABETH A DUPUIS M.D.
Provider Business Mailing Address
First Line : 291 INDEPENDENCE DR
Second Line : INTERNAL MEDICINE
City : CHESTNUT HILL
State : MA
Zip : 02467-3628
Country : US
Telephone Number : 617-541-6505
Fax Number : 617-541-6444
Provider Business Practice Location Address
First Line : 291 INDEPENDENCE DR
Second Line : INTERNAL MEDICINE
City : CHESTNUT HILL
State : MA
Zip : 02467-3628
Country : US
Telephone Number : 617-541-6505
Fax Number : 617-541-6444
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 12/22/2005
Last Update Date : 01/07/2021

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