MEDICARE: ELIZABETH A FOLEY 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
1	202K00000X	Phlebology Physician	72659	MA
2	207V00000X	Obstetrics & Gynecology Physician	72659	MA

Medicare Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
16	16003690	OTHER		RAILROAD/MEDICARE

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier Issuer
1	13725	OTHER	HARVARD PILGRIM POS
2	0016762	OTHER	NEIGHBORHOOD HEALTH PLAN
3	8186449	OTHER	HEALTHSOURCE MASS.
4	J11407	OTHER	BS- BLUE CARE ELECT
5	J11407	OTHER	HMO BLUE/BLUE CHOICE
6	072659	OTHER	TUFTS COMMONWEALTH PPO
7	8186449	OTHER	CIGNA HEALTH CARE
8	J11407	OTHER	BLUE SHIELD-INDEMNITY
9	07-00753	OTHER	UNITED HEALTHCARE HMO PPO
10	13725	OTHER	HARVARD/PILGRIM
11	E93037	OTHER	FIRST SENIORITY
12	072659	OTHER	TUFTS
13	072659	OTHER	TUFTS BENEFIT ADMIN.
14	072659	OTHER	TUFTS TOTAL HEALTH PLAN
15	13725	OTHER	HARVARD PILGRIM PPO
17	27397	OTHER	CHILDREN'S MEDICAL SEC.

General Provider Information

NPI Number	:	1538166921
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	ELIZABETH A FOLEY MD

Provider Business Mailing Address
First Line	:	340 MAIN ST
Second Line	:	SUITE 670
City	:	WORCESTER
State	:	MA
Zip	:	01608
Country	:	US
Telephone Number	:	508-754-3566
Fax Number	:	508-438-6368

Provider Business Practice Location Address
First Line	:	333 ELM ST
Second Line	:	STE. 205
City	:	DEDHAM
State	:	MA
Zip	:	02026-4530
Country	:	US
Telephone Number	:	781-251-0029
Fax Number	:	781-251-0229

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

Provider Enumeration Date	:	06/30/2005
Last Update Date	:	12/05/2011

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