Provider Demographics
NPI:1265696421
Name:LAUBACH, ANJOLIE E (MD)
Entity type:Individual
Prefix:DR
First Name:ANJOLIE
Middle Name:E
Last Name:LAUBACH
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
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Mailing Address - Street 1:77 MARION ST
Mailing Address - Street 2:APT 201
Mailing Address - City:BROOKLINE
Mailing Address - State:MA
Mailing Address - Zip Code:02446-4770
Mailing Address - Country:US
Mailing Address - Phone:919-824-8363
Mailing Address - Fax:
Practice Address - Street 1:243 CHARLES STREET,
Practice Address - Street 2:7TH FLOOR (RM 712) DEPARTMENT OF ANESTHESIOLOGY
Practice Address - City:BOSTON
Practice Address - State:MA
Practice Address - Zip Code:02114
Practice Address - Country:US
Practice Address - Phone:617-573-3378
Practice Address - Fax:617-573-4033
Is Sole Proprietor?:No
Enumeration Date:2008-07-16
Last Update Date:2009-09-09
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
MA235931207L00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207L00000XAllopathic & Osteopathic PhysiciansAnesthesiology