Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207KA0200X | Allergist | 216605 | MA |
NPI | 1720082662 |
---|---|
Provider Name | Dr. Lawrence G Pincus |
First Address | Worcester, MA 01608-1209 |
Second Address | Worcester, MA 01608-1209 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 09/06/2005 |
Last Update Date | 03/09/2008 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
0029831 | NEIGHBORHOOD HEALTH PLAN (01) | MA |
0200265 | UNITED HEALTHCARE (01) | MA |
042923137 | TAX ID GROUP NUMBER (01) | MA |
1530 | HARVARD PILGRIM (01) | MA |
2044960 | (05) | MA |
216605 | TUFTS HEALTHPLAN (01) | MA |
3076792 | AETNA US HEALTHCARE (01) | MA |
326052 | CIGNA HEALTHCARE (01) | MA |
67551 | FALLON (01) | MA |
973519 | NETWORK HEALTH (01) | MA |
D37455 | (02) | MA |
J26487 | BLUE CROSS BLUE SHIELD (01) | MA |