Provider Demographics
NPI:1619934924
Name:MAURI, LAURA (MD MSC FACC)
Entity Type:Individual
Prefix:
First Name:LAURA
Middle Name:
Last Name:MAURI
Suffix:
Gender:F
Credentials:MD MSC FACC
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Other - Credentials:
Mailing Address - Street 1:ONE BRIGHAM CIRCLE
Mailing Address - Street 2:BRIGHAMS AND WOMENS HOSPITAL DIV OF CLINICAL BIOMETRICS
Mailing Address - City:BOSTON
Mailing Address - State:MA
Mailing Address - Zip Code:02120
Mailing Address - Country:US
Mailing Address - Phone:617-732-8936
Mailing Address - Fax:617-525-8027
Practice Address - Street 1:1620 TREMONT ST
Practice Address - Street 2:BRIGHAMS AND WOMENS HOSPITAL DIV OF CLINICAL BIOMETRICS
Practice Address - City:BOSTON
Practice Address - State:MA
Practice Address - Zip Code:02120-1613
Practice Address - Country:US
Practice Address - Phone:617-732-8936
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2006-04-28
Last Update Date:2015-04-30
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
MA56537207RI0011X
MA156537207RC0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RI0011XAllopathic & Osteopathic PhysiciansInternal MedicineInterventional Cardiology
No207RC0000XAllopathic & Osteopathic PhysiciansInternal MedicineCardiovascular Disease