Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 207R00000X | Internist | 160065 | MA |
N | 111NI0900X | Internist | 160065 | MA |
N | 207RC0000X | Internist - Cardiovascular Disease | 160065 | MA |
Y | 207RC0001X | Clinical Cardiac Electrophysiologist | 160065 | MA |
NPI | 1265419410 |
---|---|
Provider Name | Dr. Seth Mcclennen |
First Address | South Weymouth, MA 02190-1868 |
Second Address | South Weymouth, MA 02190-1868 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 29/12/2005 |
Last Update Date | 13/03/2014 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
0033355 | NEIGHBORHOOD HEALTH PLAN (01) | MA |
2062861 | (05) | MA |
469016 | TUFTS HEALTH PLAN (01) | MA |
91036 | FALLON COMM HEALTH PLAN (01) | MA |
AA11795 | HARVARD PILGRIM (01) | MA |
I00975 | (02) | MA |
J27401 | BLUE CROSS BLUE SHIELD (01) | MA |