Provider Demographics
NPI:1265423719
Name:PLANTE, ANNE MARIA ALTHAUSEN (MD)
Entity type:Individual
Prefix:DR
First Name:ANNE
Middle Name:MARIA ALTHAUSEN
Last Name:PLANTE
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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:617-724-6850
Mailing Address - Fax:617-724-5843
Practice Address - Street 1:55 FRUIT ST
Practice Address - Street 2:VINCENT OB GYN SERVICE YAW 4
Practice Address - City:BOSTON
Practice Address - State:MA
Practice Address - Zip Code:02114-2621
Practice Address - Country:US
Practice Address - Phone:617-724-9013
Practice Address - Fax:617-724-3498
Is Sole Proprietor?:No
Enumeration Date:2005-11-03
Last Update Date:2012-11-05
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Provider Licenses
StateLicense IDTaxonomies
MA205144207V00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207V00000XAllopathic & Osteopathic PhysiciansObstetrics & Gynecology
Provider Identifiers
StateIdentifier IDID TypeIssuer
MAJ22417OtherBCBS MA
MA0107450Medicaid
MA205144OtherTUFTS HEALTH PLAN
H15369Medicare UPIN
MAA31013Medicare ID - Type Unspecified