Provider Demographics
NPI:1356329353
Name:BREWSTER, ANNE C (MD)
Entity Type:Individual
Prefix:DR
First Name:ANNE
Middle Name:C
Last Name:BREWSTER
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:617-726-2707
Mailing Address - Fax:617-724-0189
Practice Address - Street 1:55 FRUIT ST YAW 4740E
Practice Address - Street 2:WOMENS HEALTH ASSOCIATES
Practice Address - City:BOSTON
Practice Address - State:MA
Practice Address - Zip Code:02114
Practice Address - Country:US
Practice Address - Phone:617-724-6700
Practice Address - Fax:617-724-6725
Is Sole Proprietor?:No
Enumeration Date:2006-01-09
Last Update Date:2012-07-19
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Provider Licenses
StateLicense IDTaxonomies
MA215356207R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
MA2040981Medicaid
MAJ27296OtherBCBS OF MA
MA468923OtherTUFTS HEALTH PLAN
MAJ27296OtherBCBS OF MA
MAA36774Medicare ID - Type Unspecified