Provider Demographics
NPI:1609866847
Name:VIGUERA, ADELE CASALS (MD)
Entity Type:Individual
Prefix:DR
First Name:ADELE
Middle Name:CASALS
Last Name:VIGUERA
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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:617-724-0287
Mailing Address - Fax:617-726-2894
Practice Address - Street 1:185 CAMBRIDGE ST CPZN
Practice Address - Street 2:SIMCHES RESEARCH BUILDING SUITE 2200
Practice Address - City:BOSTON
Practice Address - State:MA
Practice Address - Zip Code:02114-3117
Practice Address - Country:US
Practice Address - Phone:617-724-7220
Practice Address - Fax:617-643-3080
Is Sole Proprietor?:Not Answered
Enumeration Date:2005-10-27
Last Update Date:2007-07-08
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Provider Licenses
StateLicense IDTaxonomies
MA768172084P0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2084P0800XAllopathic & Osteopathic PhysiciansPsychiatry & NeurologyPsychiatry
Provider Identifiers
StateIdentifier IDID TypeIssuer
MA758518OtherTUFTS HEALTH PLAN
MAJ30305OtherBCBS MA
MA3139450Medicaid
MA3139450Medicaid
F74630Medicare UPIN