Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207RI0011X | Interventional Cardiology | 44596 | MA |
NPI | 1013915354 |
---|---|
Provider Name | Dr. Gordon M Saperia |
First Address | Auburndale, MA 02466-2007 |
Second Address | Boston, MA 02111-1526 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 11/07/2005 |
Last Update Date | 08/07/2007 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
2210412004 | CIGNA (01) | |
304582 | HARVARD PILGRIM (01) | |
3046664 | (05) | MA |
3123280 | AETNA (01) | |
772749 | TUFTS (01) | |
974765 | NETWORK HEALTH (01) | |
99001155 - 00115 | FALLON (01) | |
A57760 | (02) | |
J04413 - M18187 | BCBS (01) |