Provider Demographics
NPI:1760463954
Name:TURNOCK, ELIZABETH ANNE (MD)
Entity type:Individual
Prefix:DR
First Name:ELIZABETH
Middle Name:ANNE
Last Name:TURNOCK
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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:617-643-8041
Mailing Address - Fax:617-726-2894
Practice Address - Street 1:332 HANOVER ST
Practice Address - Street 2:NORTH END COMMUNITY HEALTH CENTER NHC
Practice Address - City:BOSTON
Practice Address - State:MA
Practice Address - Zip Code:02113-1901
Practice Address - Country:US
Practice Address - Phone:617-643-8000
Practice Address - Fax:617-643-8122
Is Sole Proprietor?:No
Enumeration Date:2005-11-07
Last Update Date:2012-12-11
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Provider Licenses
StateLicense IDTaxonomies
MA80386207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
MAJ30973OtherBCBS MA
MA080386OtherTUFTS HEALTH PLAN
MA3134156Medicaid
MA3134156Medicaid
MAJ30973Medicare ID - Type Unspecified