| Boston University Affiliated Physicians, Inc. | |
|
575 Boylston St Fl 6 Boston MA 02116-3607 | |
| (617) 414-9600 | |
| (617) 262-7015 |
| Full Name | Boston University Affiliated Physicians, Inc. |
|---|---|
| Speciality | Internal Medicine |
| Location | 575 Boylston St Fl 6, Boston, Massachusetts |
| Authorized Official Name and Position | Ravin Davidoff (PRESIDENT) |
| Authorized Official Contact | 6176389557 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Boston University Affiliated Physicians, Inc. 720 Harrison Ave # Dob503 Boston MA 02118-2371 Ph: (617) 414-5405 | Boston University Affiliated Physicians, Inc. 575 Boylston St Fl 6 Boston MA 02116-3607 Ph: (617) 414-9600 |
| NPI Number | 1245320910 |
|---|---|
| Provider Enumeration Date | 10/13/2006 |
| Last Update Date | 11/30/2018 |
| Medicare PECOS PAC ID | 9830133123 |
|---|---|
| Medicare Enrollment ID | O20050617000054 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1245320910 | NPI | - | NPPES |
| 110072048B | Medicaid | MA |
| Provider Name | Charles P Tifft |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1740233063 PECOS PAC ID: 9739122540 Enrollment ID: I20050602000844 |
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