Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 2081S0010X | Sports Medicine | 2036 | MA |
Y | 213ES0000X | Sports Medicine | 2036 | MA |
NPI | 1265546212 |
---|---|
Provider Name | David Hugh Greenblott |
First Address | West Newbury, MA 01985-0208 |
Second Address | Haverhill, MA 01830-6790 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 18/08/2006 |
Last Update Date | 15/03/2019 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
000000007083 | BMC HEALTH NET (01) | MA |
0006166 | NEIGHBORHOOD HEALTH PLAN (01) | MA |
0358509 | (05) | MA |
043043013M | CIGNA (01) | MA |
1230446 | FALLON (01) | MA |
23-7425849 | UNICARE (01) | MA |
2700023 | EVERCARE (01) | MA |
2700077 | UNITED HEALTH CARE (01) | MA |
480019491 | RAILROAD MEDIARE (01) | MA |
98140201 | NETWORK HEALTH (01) | MA |
AA3102 | HAVARD PILGRIM HEALTH PLA (01) | MA |
TUFTS | 002036 (01) | MA |
U52618 | (02) | MA |
Y70996 | BCBS (01) | MA |