Provider Demographics
NPI:1184687568
Name:VORA, ARIANA JESSICA (MD)
Entity Type:Individual
Prefix:DR
First Name:ARIANA
Middle Name:JESSICA
Last Name:VORA
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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:617-643-2420
Mailing Address - Fax:617-726-7875
Practice Address - Street 1:65 WALNUT ST
Practice Address - Street 2:SPAULDING NEWTON WELLESLEY REHAB CENTER
Practice Address - City:WELLESLEY
Practice Address - State:MA
Practice Address - Zip Code:02481
Practice Address - Country:US
Practice Address - Phone:781-431-9144
Practice Address - Fax:781-431-9152
Is Sole Proprietor?:No
Enumeration Date:2006-04-07
Last Update Date:2015-06-17
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Provider Licenses
StateLicense IDTaxonomies
MA226358208100000X
MA2283582081S0010X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208100000XAllopathic & Osteopathic PhysiciansPhysical Medicine & Rehabilitation
No2081S0010XAllopathic & Osteopathic PhysiciansPhysical Medicine & RehabilitationSports Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
MA478758OtherTUFTS HEALTH PLAN
MA2109336Medicaid
MAJ29047OtherBCBS MA
MA478758OtherTUFTS HEALTH PLAN
I39828Medicare UPIN