Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 213ES0131X | Foot Surgery | 1563 | MA |
NPI | 1316914971 |
---|---|
Provider Name | Dr. Bruce Treadwell Croft |
First Address | Holden, MA 01520-3800 |
Second Address | Holden, MA 01520-3800 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 02/03/2006 |
Last Update Date | 21/05/2008 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
0006147 | NEIGHBORHOOD HEALTH PLAN (01) | MA |
001563 | TUFTS HEALTH PLAN (01) | MA |
0339415 | (05) | MA |
2703028 | UNITED HEALTH PLAN (01) | MA |
33234 | HARVARD PILGRIM HEALTH (01) | MA |
5315 | FALLON HEALTH PLAN (01) | MA |
CRY70670 | BLUE SHIELD OF MA (01) | MA |
S009207 | CHAMPUS (01) | MA |
T58711 | (02) | MA |