Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 207R00000X | Internist | 44524 | MA |
N | 111NI0900X | Internist | 44524 | MA |
N | 207RX0202X | Medical Oncology | 44524 | MA |
NPI | 1073589578 |
---|---|
Provider Name | Dr. Philip Crawford Amrein |
First Address | Charlestown, MA 02129-9142 |
Second Address | Boston, MA 02114 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 24/02/2006 |
Last Update Date | 08/07/2007 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
044524 | TUFTS HEALTH PLAN (01) | MA |
2074958 | (05) | MA |
A54273 | (02) | |
E05067 | BCBS MA (01) | MA |