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NPI Code Detail

MEDICARE: HELEN KAULBACH MD

MEDICARE: HELEN KAULBACH 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
1207RE0101XEndocrinology, Diabetes & Metabolism Physician81374MA

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
23300095OTHERUNITED HEALTHCARE
38009466002OTHERCIGNA
415544415OTHERTRICARE
52197962OTHERAETNA
6J19715OTHERMABCBS
7081374OTHERMATUFTS
869347OTHERMAHARVARD PILGRIM

General Provider Information

NPI Number : 1497751374
Entity Type Code : Individual
Provider Name (Legal Business Name) : HELEN KAULBACH MD
Provider Business Mailing Address
First Line : PO BOX 843242
Second Line :
City : BOSTON
State : MA
Zip : 02284-3242
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 27 CENTENNIAL DR
Second Line :
City : PEABODY
State : MA
Zip : 01960-7901
Country : US
Telephone Number : 978-531-7677
Fax Number : 978-531-7690
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 06/24/2005
Last Update Date : 07/08/2007

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Directions to “ HELEN KAULBACH MD” Practice Location

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