Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 207W00000X | Ophthalmologist | 160619 | MA |
Y | 207WX0107X | Retina Specialist | 160619 | MA |
NPI | 1003870973 |
---|---|
Provider Name | Frank J Mccabe |
First Address | Worcester, MA 01605 |
Second Address | Worcester, MA 01605 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 17/04/2006 |
Last Update Date | 12/04/2017 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
110004675A | (05) | MA |
A3238902 | MEDICARE PTAN (01) | MA |
H08344 | (02) | MA |