Provider Demographics
NPI:1134103922
Name:RAMOS, DARLENE MARIE (MD)
Entity Type:Individual
Prefix:DR
First Name:DARLENE
Middle Name:MARIE
Last Name:RAMOS
Suffix:
Gender:F
Credentials:MD
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Mailing Address - Street 1:PO BOX 9142
Mailing Address - Street 2:MASS GENERAL PHYSICIAN ORGANIZATION
Mailing Address - City:CHARLESTOWN
Mailing Address - State:MA
Mailing Address - Zip Code:02129-9142
Mailing Address - Country:US
Mailing Address - Phone:617-643-8000
Mailing Address - Fax:647-643-8122
Practice Address - Street 1:332 HANOVER STREET NEHC
Practice Address - Street 2:NORTH END COMMUNITY HEALTH CENTER
Practice Address - City:BOSTON
Practice Address - State:MA
Practice Address - Zip Code:02113-1901
Practice Address - Country:US
Practice Address - Phone:617-643-8000
Practice Address - Fax:617-643-8122
Is Sole Proprietor?:No
Enumeration Date:2005-12-05
Last Update Date:2012-11-12
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
MA159151207R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
MA159151OtherTUFTS HEALTH PLAN
MAJ19805OtherBCBS MA
F87422Medicare UPIN
MAA29219Medicare ID - Type Unspecified