Provider Demographics
NPI:1407942808
Name:TURISSINI, SHARON B (MD)
Entity Type:Individual
Prefix:
First Name:SHARON
Middle Name:B
Last Name:TURISSINI
Suffix:
Gender:F
Credentials:MD
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Other - Credentials:
Mailing Address - Street 1:147 MILK STREET
Mailing Address - Street 2:PROVIDER ENROLLMENT 9TH FLOOR
Mailing Address - City:BOSTON
Mailing Address - State:MA
Mailing Address - Zip Code:02109-4806
Mailing Address - Country:US
Mailing Address - Phone:617-421-2508
Mailing Address - Fax:
Practice Address - Street 1:1611 CAMBRIDGE STREET
Practice Address - Street 2:
Practice Address - City:CAMBRIDGE
Practice Address - State:MA
Practice Address - Zip Code:02138-4397
Practice Address - Country:US
Practice Address - Phone:617-661-5293
Practice Address - Fax:617-661-5136
Is Sole Proprietor?:No
Enumeration Date:2006-10-04
Last Update Date:2011-06-03
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
MA80589207RG0100X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RG0100XAllopathic & Osteopathic PhysiciansInternal MedicineGastroenterology
Provider Identifiers
StateIdentifier IDID TypeIssuer
MAJ31382OtherBLUE CROSS
MAV603OtherHARVARD PILGRIM
MA7575727-003OtherCIGNA
MA761915OtherTUFTS HEALTH PLAN
MAP00026136OtherMEDICARE RAILROAD
MA0015321OtherNEIGHBORHOOD HEALTH PLAN
MA3146049Medicaid
MAG13199Medicare UPIN
MABX7618Medicare PIN