Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207K00000X | Allergist & Immunologist | 34833 | MA |
NPI | 1205800810 |
---|---|
Provider Name | Dr. Catherine Lloyd O'brien |
First Address | Venice, FL 34292-3149 |
Second Address | Wareham, MA 02571-1406 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 13/02/2006 |
Last Update Date | 26/09/2007 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
2046229 | (05) | MA |
2237497 | UNITED HEALTHCARE (01) | MA |
708925 | TUFTS HEALTH INSURANCE (01) | MA |
D19561 | (02) | |
M08500 | BLUECROSS BLUESHIELD (01) | MA |