Provider Demographics
NPI:1467433128
Name:ARAUZ BOUDREAU, ALEXY D (MD)
Entity Type:Individual
Prefix:DR
First Name:ALEXY
Middle Name:D
Last Name:ARAUZ BOUDREAU
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:ALEXY
Other - Middle Name:D
Other - Last Name:ARAUZ
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:PO BOX 9142
Mailing Address - Street 2:MASS GENERAL PHYSICIAN ORGANIZATIONS INC
Mailing Address - City:CHARLESTOWN
Mailing Address - State:MA
Mailing Address - Zip Code:02129-9142
Mailing Address - Country:US
Mailing Address - Phone:617-889-8520
Mailing Address - Fax:617-889-8571
Practice Address - Street 1:151 EVERETT AVENUE
Practice Address - Street 2:MGH CHELSEA HEALTH CENTER
Practice Address - City:CHELSEA
Practice Address - State:MA
Practice Address - Zip Code:02150-1807
Practice Address - Country:US
Practice Address - Phone:617-889-8520
Practice Address - Fax:617-889-8571
Is Sole Proprietor?:No
Enumeration Date:2005-11-09
Last Update Date:2014-02-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MA215874208000000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208000000XAllopathic & Osteopathic PhysiciansPediatrics
Provider Identifiers
StateIdentifier IDID TypeIssuer
MA2106248Medicaid
MAJ29075OtherBLUE SHIELD
I35538Medicare UPIN
MAA38803Medicare PIN