Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207XS0117X | Orthopaedic Spine Surgeon | 38971 | MA |
NPI | 1376538710 |
---|---|
Provider Name | Dr. Marc A Linson |
First Address | Springfield, MA 01107-1270 |
Second Address | Springfield, MA 01107-1270 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 13/09/2005 |
Last Update Date | 08/05/2009 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
M09921 | BLUE CROSS/BLUE SHIELD (01) | MA |