Taxonomy Codes
The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:
| No. |
Taxonomy Code |
Taxonomy Clasification |
Taxonomy Specialization |
License Number |
License State |
Primary |
| 1 | 207N00000X | Dermatology | | 223309 | MASSACHUSETTS | Yes |
Other Identifiers
The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.
| No. |
Other Provider Identifier |
Other Provider Identifier Type |
Other Provider Identifier State |
Other Provider Identifier Issuer |
| 1 | 2101513 | MEDICAID | MASSACHUSETTS | |
| 2 | 470259 | OTHER | | TUFTS HEALTH PLAN |
| 3 | J28697 | OTHER | | BLUE CROSS ELECT |
| 4 | 042472266 | OTHER | | UNITED HEALTHCARE |
| 5 | 042472266 | OTHER | | THREE RIVERS |
| 6 | 87361 | OTHER | | CHILDRENS MEDICAL SECURIT |
| 7 | J28697 | OTHER | | BLUE SHIELD INDEMNITY |
| 8 | 2101513 | OTHER | | MEDICAID WELFARE |
| 9 | 2283928 | OTHER | | FIRST HEALTH |
| 10 | 92299 | OTHER | | FALLON COMMUNITY HEALTH |
| 11 | 042472266 | OTHER | | TRICARE CHAMPUS |
| 12 | AA30837 | OTHER | | HARVARD PILGRIM HEALTHCAR |
| 13 | J28697 | OTHER | | BLUE SHIELD HMO BLUE |
| 14 | 1212746 | OTHER | | CIGNA HEALTH PLAN |
| 15 | 7668645 | OTHER | | AETNA US HEALTHCARE |
| 16 | 042472266 | OTHER | | PRIVATE HEALTHCARE SYSTEM |
| 17 | 87361 | OTHER | | HEALTHY START |
| 18 | 787925 | OTHER | | MVP HEALTH CARE |