Provider Demographics
NPI:1649260381
Name:ATLAS, STEVEN JULIUS (MD)
Entity type:Individual
Prefix:DR
First Name:STEVEN
Middle Name:JULIUS
Last Name:ATLAS
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Gender:M
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:617-724-6200
Mailing Address - Fax:617-724-0393
Practice Address - Street 1:15 PARKMAN ST
Practice Address - Street 2:WAC 615 INTERNAL MEDICINE ASSOCIATES TEAM 2
Practice Address - City:BOSTON
Practice Address - State:MA
Practice Address - Zip Code:02114-3117
Practice Address - Country:US
Practice Address - Phone:617-724-6200
Practice Address - Fax:617-724-0393
Is Sole Proprietor?:No
Enumeration Date:2005-10-25
Last Update Date:2014-06-23
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Provider Licenses
StateLicense IDTaxonomies
MA72144207R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
MAJ09865OtherBCBS MA
MA3061957Medicaid
MA724113OtherTUFTS HEALTH PLAN
MAJ09865Medicare PIN
MA3061957Medicaid