Provider Demographics
NPI:1598293367
Name:ELOFSON, JULIANNE E (MD)
Entity Type:Individual
Prefix:
First Name:JULIANNE
Middle Name:E
Last Name:ELOFSON
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
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Other - Last Name:
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Other - Credentials:
Mailing Address - Street 1:DIMOCK COMMUNITY HEALTH CENTER
Mailing Address - Street 2:55 DIMOCK ST, CHENEY BUILDING
Mailing Address - City:ROXBURY
Mailing Address - State:MA
Mailing Address - Zip Code:02119-1208
Mailing Address - Country:US
Mailing Address - Phone:617-442-8800
Mailing Address - Fax:617-541-8472
Practice Address - Street 1:45 DIMOCK ST, RICHARDS BUILDING
Practice Address - Street 2:
Practice Address - City:ROXBURY
Practice Address - State:MA
Practice Address - Zip Code:02119-1208
Practice Address - Country:US
Practice Address - Phone:617-442-8800
Practice Address - Fax:617-442-4088
Is Sole Proprietor?:No
Enumeration Date:2017-05-24
Last Update Date:2021-04-21
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
MA271083207R00000X
MA282651207R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine