Provider Demographics
NPI:1275523615
Name:OAKLANDER, ANNE LOUISE (MD PHD)
Entity Type:Individual
Prefix:DR
First Name:ANNE LOUISE
Middle Name:
Last Name:OAKLANDER
Suffix:
Gender:F
Credentials:MD PHD
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Other - First Name:
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Other - Credentials:
Mailing Address - Street 1:15 PARKMAN ST
Mailing Address - Street 2:WANG 835 NEUROLOGY CLINIC
Mailing Address - City:BOSTON
Mailing Address - State:MA
Mailing Address - Zip Code:02114-3117
Mailing Address - Country:US
Mailing Address - Phone:617-724-3992
Mailing Address - Fax:617-726-6991
Practice Address - Street 1:15 PARKMAN ST
Practice Address - Street 2:WANG 835 NEUROLOGY CLINIC
Practice Address - City:BOSTON
Practice Address - State:MA
Practice Address - Zip Code:02114-3117
Practice Address - Country:US
Practice Address - Phone:617-724-3992
Practice Address - Fax:617-726-6991
Is Sole Proprietor?:No
Enumeration Date:2005-10-26
Last Update Date:2012-03-28
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
MA1584172084P2900X, 2084N0400X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2084N0400XAllopathic & Osteopathic PhysiciansPsychiatry & NeurologyNeurology
No2084P2900XAllopathic & Osteopathic PhysiciansPsychiatry & NeurologyPain Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
MA3187560Medicaid
MAJ19471OtherBCBS
MA793322OtherTUFTS HEALTH PLAN
MAJ19471OtherBCBS
MAA28758Medicare ID - Type Unspecified