Provider Demographics
NPI:1225076508
Name:PALABRICA, THERESA M (MD)
Entity Type:Individual
Prefix:
First Name:THERESA
Middle Name:M
Last Name:PALABRICA
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Gender:F
Credentials:MD
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Other - Last Name:
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Mailing Address - Street 1:17 PORTERS COVE RD
Mailing Address - Street 2:
Mailing Address - City:HINGHAM
Mailing Address - State:MA
Mailing Address - Zip Code:02043-1026
Mailing Address - Country:US
Mailing Address - Phone:617-444-1630
Mailing Address - Fax:
Practice Address - Street 1:40 LANDSDOWNE STREET
Practice Address - Street 2:MILLENIUM PHARMACEUTICALS
Practice Address - City:CAMBRIDGE
Practice Address - State:MA
Practice Address - Zip Code:02139
Practice Address - Country:US
Practice Address - Phone:617-444-1630
Practice Address - Fax:
Is Sole Proprietor?:Not Answered
Enumeration Date:2006-06-02
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
MA53092207RC0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RC0000XAllopathic & Osteopathic PhysiciansInternal MedicineCardiovascular Disease