Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 111NN0400X | Neurology | 524 | MA |
N | 111NX0800X | Chiropractor Orthopedic Specialist | 524 | MA |
NPI | 1801953062 |
---|---|
Provider Name | Dr. Deborah A Mager |
First Address | Beverly, MA 01915-3205 |
Second Address | Beverly, MA 01915-3205 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 03/01/2007 |
Last Update Date | 24/11/2010 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
1613243 | (05) | MA |
20819101 | CIGNA HEALTHCARE (01) | MA |
44-00362 | UNITED HEALTHCARE (01) | MD |
712354 | TUFTS HEALTHCARE (01) | MA |
71650 | AETNA (01) | MA |
Y35347 | BC BS OF MA (01) | MA |