MEDICARE: PERSONAL PHYSICIANS HEALTHCARE PC

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	207R00000X	Internal Medicine Physician

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	M17961	OTHER	MA	BCBS
2	1013905751	OTHER	MA	DR STEVEN R FLIER NPI
3	1699763482	OTHER	MA	DR CORLISS INDIV NPI
4	688727	OTHER	MA	TUFTS
5	1033158563	OTHER	MA	DR BUSCH INDIV NPI

General Provider Information

NPI Number	:	1942405782
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	PERSONAL PHYSICIANS HEALTHCARE PC

Provider Business Mailing Address
First Line	:	110 WORCESTER STREET
Second Line	:	SUITE 301
City	:	WELLESLEY
State	:	MA
Zip	:	02481
Country	:	US
Telephone Number	:	617-731-0058
Fax Number	:	617-731-0825

Provider Business Practice Location Address
First Line	:	110 WORCESTER STREET
Second Line	:	SUITE 301
City	:	WELLESLEY
State	:	MA
Zip	:	02481
Country	:	US
Telephone Number	:	617-731-0058
Fax Number	:	617-731-0825

Authorized Official
Title or Position	:	EXECUTIVE DIRECTOR
Name	:	JULIE K PIVOR
Credential	:
Telephone Number	:	617-731-0058

Provider Enumeration Date	:	06/20/2007
Last Update Date	:	01/02/2026

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