Provider Demographics
NPI:1295786598
Name:AGUILAR, LAURA KAYE (MD PHD)
Entity type:Individual
Prefix:DR
First Name:LAURA
Middle Name:KAYE
Last Name:AGUILAR
Suffix:
Gender:F
Credentials:MD PHD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:44 BINNEY ST
Mailing Address - Street 2:
Mailing Address - City:BOSTON
Mailing Address - State:MA
Mailing Address - Zip Code:02115
Mailing Address - Country:US
Mailing Address - Phone:617-632-3289
Mailing Address - Fax:617-632-4410
Practice Address - Street 1:44 BINNEY ST
Practice Address - Street 2:
Practice Address - City:BOSTON
Practice Address - State:MA
Practice Address - Zip Code:02115
Practice Address - Country:US
Practice Address - Phone:617-632-3289
Practice Address - Fax:617-632-4410
Is Sole Proprietor?:No
Enumeration Date:2006-05-12
Last Update Date:2007-09-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MA2061622080P0207X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2080P0207XAllopathic & Osteopathic PhysiciansPediatricsPediatric Hematology-Oncology
Provider Identifiers
StateIdentifier IDID TypeIssuer
0101886OtherCIGNA
204819OtherHPHC DFCI ONLY
MA0159191Medicaid
53395OtherFALLON COMMUNITY HEALTH P
MAJ24389OtherMA BLUE CROSS BLUE SHIELD
794527OtherTUFTS
53395OtherFALLON COMMUNITY HEALTH P
794527OtherTUFTS