Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 213EP1101X | Primary Podiatric Medicine | 1336 | MA |
N | 2081S0010X | Sports Medicine | 1336 | MA |
N | 213ES0000X | Sports Medicine | 1336 | MA |
NPI | 1265413355 |
---|---|
Provider Name | Dr. Robert A Fleischner |
First Address | Springfield, MA 01103-1068 |
Second Address | Springfield, MA 01103-1068 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 07/11/2005 |
Last Update Date | 07/01/2011 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
000000006936 | HEALTHNET PLAN (01) | MA |
001336 | TUFTS (01) | MA |
030001336MA01 | BCBS (01) | CT |
0398667 | (05) | MA |
101900 | CIGNA (01) | CT |
20164 | HEALTH NEW ENGLAND (01) | MA |
2257769 | AETNA (01) | |
33833 | HARVARD PILGRIM (01) | |
98124801 | NETWORK HEALTH (01) | |
P013360 | CONNECTICARE (01) | CT |
T58545 | (02) | |
Y70139 | BCBS (01) | MA |