Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207XX0005X | Sports Medicine Orthopaedic Surgeon | 32503 | MA |
NPI | 1134110950 |
---|---|
Provider Name | Dr. Harry E Vonertfelda |
First Address | Fairhaven, MA 02719-5252 |
Second Address | New Bedford, MA 02740-2143 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 01/11/2005 |
Last Update Date | 27/04/2020 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
0005308 | NEIGHBORHOOD HEALTH (01) | MA |
032503 | TUFTS HEALTH PLAN (01) | MA |
09-01012 | UNITED HEALTHCARE (01) | MA |
17012 | HARVARD PILGRIM HEALTH CA (01) | MA |
4146-9 | RHODE ISLAND BLUE SHIELD (01) | MA |
8851 N HA FM 20 1165 | CHAMPUS (01) | MA |
9710477 | (05) | MA |
B20739701 | CIGNA HEALTHCARE (01) | MA |
B98238 | (02) | MA |