Provider Demographics
NPI:1538166921
Name:FOLEY, ELIZABETH A (MD)
Entity type:Individual
Prefix:
First Name:ELIZABETH
Middle Name:A
Last Name:FOLEY
Suffix:
Gender:F
Credentials:MD
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Mailing Address - Street 1:340 MAIN ST
Mailing Address - Street 2:SUITE 670
Mailing Address - City:WORCESTER
Mailing Address - State:MA
Mailing Address - Zip Code:01608
Mailing Address - Country:US
Mailing Address - Phone:508-754-3566
Mailing Address - Fax:508-438-6368
Practice Address - Street 1:333 ELM ST
Practice Address - Street 2:STE. 205
Practice Address - City:DEDHAM
Practice Address - State:MA
Practice Address - Zip Code:02026-4530
Practice Address - Country:US
Practice Address - Phone:781-251-0029
Practice Address - Fax:781-251-0229
Is Sole Proprietor?:No
Enumeration Date:2005-06-30
Last Update Date:2011-12-05
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
MA72659202K00000X, 207V00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes202K00000XAllopathic & Osteopathic PhysiciansPhlebology
No207V00000XAllopathic & Osteopathic PhysiciansObstetrics & Gynecology
Provider Identifiers
StateIdentifier IDID TypeIssuer
13725OtherHARVARD PILGRIM POS
0016762OtherNEIGHBORHOOD HEALTH PLAN
8186449OtherHEALTHSOURCE MASS.
J11407OtherBS- BLUE CARE ELECT
J11407OtherHMO BLUE/BLUE CHOICE
072659OtherTUFTS COMMONWEALTH PPO
8186449OtherCIGNA HEALTH CARE
J11407OtherBLUE SHIELD-INDEMNITY
07-00753OtherUNITED HEALTHCARE HMO PPO
13725OtherHARVARD/PILGRIM
E93037OtherFIRST SENIORITY
072659OtherTUFTS
072659OtherTUFTS BENEFIT ADMIN.
072659OtherTUFTS TOTAL HEALTH PLAN
13725OtherHARVARD PILGRIM PPO
16003690OtherRAILROAD/MEDICARE
27397OtherCHILDREN'S MEDICAL SEC.
072659OtherTUFTS COMMONWEALTH PPO
13725OtherHARVARD/PILGRIM
E93037OtherFIRST SENIORITY