ELIZABETH H INGRAM

BOSTON, MA
NPI1639134471
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy363A00000X Physician Assistant
(Licence: MA  115)
Additional Taxonomies363AM0700X Physician Assistant, Medical
(Licence: MA  115)
Enumeration Date2006-04-17
Last Update Date2007-07-08
Business Address
-- ELIZABETH H INGRAM PA
147 MILK ST
BOSTON, MA 02109-4806
Phone number: 617-654-7000
Mailing Address
-- ELIZABETH H INGRAM PA
147 MILK ST PROVIDER ENROLLMENT - 9TH FLOOR
BOSTON, MA 02109-4806
Phone number: 617-559-8053