Elizabeth A Mahanor
Vascular Surgeon
123 Summer St
Worcester
, Massachusetts 01608-1312
Elizabeth A Mahanor
Vascular Surgeon
123 Summer St
Worcester
, Massachusetts 01608-1312
(508) 368-3193
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About
Features
Specialties
- Vascular Surgeon
Languages spoken
- English
Location
First Address
- Elizabeth A Mahanor
- 630 Plantation St
- Worcester, MA
- Zip : 01605-2038
- Fax : (508) 368-3193
- Phone : (508) 368-3190
Second Address
- Elizabeth A Mahanor
- 123 Summer St
- Worcester, MA
- Zip : 01608-1312
- Fax : (508) 368-3193
- Phone : (508) 368-3190
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| Y | 2086S0129X | Vascular Surgeon | 226477 | MA |
National Provider Identifier
| NPI | 1013994755 |
|---|---|
| Provider Name | Elizabeth A Mahanor |
| First Address | Worcester, MA 01605-2038 |
| Second Address | Worcester, MA 01608-1312 |
| Gender | F |
| NPI Entity type | Individual |
| Is Sole Proprietor | No |
| Is Organization Subpart | N/A |
| Enumeration Date | 23/12/2005 |
| Last Update Date | 29/12/2017 |
Additional Identifiers
| IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
|---|---|---|
| 1013994755 | UNITED HEALTH CARE (01) | MA |
| 110041617A | (05) | MA |
| 3589507 | CIGNA HEALTH PLAN (01) | MA |
| 494359 | TUFTS HEALTH PLAN (01) | MA |
| 7480522 | AETNA (01) | MA |
| 90832 | FALLON COMMUNITY HEALTH (01) | |
| A39481 | MEDICARE (01) | MA |
| AA44138 | HARVARD PILGRIM (01) | MA |
| I01009 | (02) | |
| J29570 | BLUE CROSS BLUE SHIELD OF MA (01) | MA |
NPI Footnotes
What is the National Provider Identifier (NPI)
Provider Location Address
Provider Mailing Address
Entity Type Code
1= Person: individual human being who furnishes health care;
2= Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)
What is a Subpart?
Provider Other Organization Name
1 = former name;
2 = professional name;
3 = doinq business as (d/b/ a) name;
4 = former legal business name;
5 = other.