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 | | 042219 | CONNECTICUT | No |
| 2 | 207N00000X | Dermatology | | 11477 | RHODE ISLAND | No |
| 3 | 207N00000X | Dermatology | | 75666 | 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 | 043158835 | OTHER | MASSACHUSETTS | COMMERCIAL |
| 2 | J12248 | OTHER | MASSACHUSETTS | BC BS OF MASS |
| 3 | 001422196 | OTHER | CONNECTICUT | TITLE 19 INS |
| 4 | 997001 | OTHER | MASSACHUSETTS | NETWORK HEALTH |
| 5 | P1705911 | OTHER | CONNECTICUT | OXFORD HEALTH PLANS |
| 6 | 00142219600 | OTHER | CONNECTICUT | BLUE CARE FAMILY |
| 7 | 010075666M02 | OTHER | MASSACHUSETTS | ANTHEM BC BS |
| 8 | 000000028685 | OTHER | MASSACHUSETTS | BMC HEALTH NET |
| 9 | 0303009 | OTHER | MASSACHUSETTS | UNITED HEALTH PLANS |
| 10 | 075666 | OTHER | MASSACHUSETTS | TUFTS MASS |
| 11 | 010042219CT02 | OTHER | CONNECTICUT | ANTHEM BC BS |
| 12 | 17462 | OTHER | MASSACHUSETTS | HEALTH OF NEW ENGLAND |
| 13 | 3092917 | MEDICAID | MASSACHUSETTS | |
| 14 | 4294 | OTHER | MASSACHUSETTS | HARVARD PILGRIM |
| 15 | 2V2311 | OTHER | CONNECTICUT | HEALTH NET |
| 16 | 620067 | OTHER | MASSACHUSETTS | US HEALTH CARE |
| 17 | 758835 | OTHER | CONNECTICUT | CONNECTICARE |