Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 1223D0001X | Dental Public Health | 13152 | MA |
NPI | 1073534020 |
---|---|
Provider Name | Dr. Harvey Apotheker |
First Address | Gardner, MA 01440 |
Second Address | Gardner, MA 01440 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 22/07/2006 |
Last Update Date | 08/07/2007 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
X04227 | BCBS (01) | MA |