Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207YS0123X | Facial Plastic Surgeon | 57595 | MA |
NPI | 1922076421 |
---|---|
Provider Name | Dr. Roger Allen Allcroft |
First Address | Northampton, MA 01060-3848 |
Second Address | Northampton, MA 01060-3848 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 09/03/2006 |
Last Update Date | 09/07/2007 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
10131 | HEALTH NEW ENGLAND (01) | MA |
3023222/9751271 | (05) | MA |
3677236 | AETNA (01) | MA |
6668066 | CIGNA (01) | MA |
768864 | TUFTS HEALTH PLANS (01) | MA |
799543 | CONNECTICARE (01) | MA |
A66456 | (02) | MA |
AA13479 | HARVARD PILGRIM (01) | MA |
J06413/M18763 | BC/BS INDIVIDUAL/GROUP (01) | MA |
P00242595/DD6666 | RR MEDICARE INDIVIDUAL/GR (01) | MA |