Provider Demographics
NPI:1104807551
Name:METSON, RALPH BELL (MD)
Entity type:Individual
Prefix:
First Name:RALPH
Middle Name:BELL
Last Name:METSON
Suffix:
Gender:M
Credentials:MD
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Mailing Address - Street 1:0 EMERSON PL
Mailing Address - Street 2:STE 2D
Mailing Address - City:BOSTON
Mailing Address - State:MA
Mailing Address - Zip Code:02114-2241
Mailing Address - Country:US
Mailing Address - Phone:617-227-4366
Mailing Address - Fax:617-726-2894
Practice Address - Street 1:0 EMERSON PL
Practice Address - Street 2:STE 2D E00 2D
Practice Address - City:BOSTON
Practice Address - State:MA
Practice Address - Zip Code:02114-2241
Practice Address - Country:US
Practice Address - Phone:617-227-4366
Practice Address - Fax:617-726-2894
Is Sole Proprietor?:No
Enumeration Date:2005-11-10
Last Update Date:2019-12-13
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Provider Licenses
StateLicense IDTaxonomies
MA54878207Y00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207Y00000XAllopathic & Osteopathic PhysiciansOtolaryngology
Provider Identifiers
StateIdentifier IDID TypeIssuer
19922OtherHARVARD PILGRIM
MA3000923Medicaid
MA712445OtherTUFTS HEALTH PLAN
MAJ04959OtherBCBS MA
MA712445OtherTUFTS HEALTH PLAN
A58142Medicare UPIN