Provider Demographics
NPI:1750363768
Name:XERRAS, DEAN C (MD)
Entity type:Individual
Prefix:DR
First Name:DEAN
Middle Name:C
Last Name:XERRAS
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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:617-887-4600
Mailing Address - Fax:617-887-4646
Practice Address - Street 1:100 EVERETT AVE
Practice Address - Street 2:SUITE 16C, CHELSEA HEALTHCARE CENTER
Practice Address - City:CHELSEA
Practice Address - State:MA
Practice Address - Zip Code:02150-2309
Practice Address - Country:US
Practice Address - Phone:617-887-4600
Practice Address - Fax:617-887-4646
Is Sole Proprietor?:No
Enumeration Date:2005-11-16
Last Update Date:2014-02-12
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Provider Licenses
StateLicense IDTaxonomies
MA205721207R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
MAJ24667OtherBCBS OF MA
MA205721OtherTUFTS HEALTH PLAN
MA0192252Medicaid
MA0192252Medicaid
MAA33952Medicare PIN