Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 213E00000X | Podiatrist | 0151 | NH |
N | 222Z00000X | Podiatrist | 0151 | NH |
Y | 213E00000X | Podiatrist | 1639 | MA |
Y | 222Z00000X | Podiatrist | 1639 | MA |
NPI | 1043263379 |
---|---|
Provider Name | Gregory Mcnamara |
First Address | Merrimack, NH 03054-1807 |
Second Address | Lowell, MA 01852-1334 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 18/05/2006 |
Last Update Date | 31/10/2007 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
0006112 | NEIGHBORHOOD HEALTH (01) | MA |
0307130Y0NH01 | ANTHEM BLUE CROSS (01) | NH |
042779503 | CIGNA (01) | |
1524676 | UNITED MINE WORKERS (01) | |
20536 | FALLON COMMUNITY HEALTH (01) | |
2700058 | UNITED HEALTHCARE (01) | |
33217 | HARVARD PILGRIM (01) | |
480022699 | RAILROAD MEDICARE (01) | MA |
701125 | TUFTS HEALTH PLAN (01) | MA |
80003645 | (05) | NH |
86560 | HEALTHSOURCE (01) | |
98215702 | NETWORK HEALTH (01) | MA |
T58739 | (02) | |
Y70726 | BLUE CROSS BLUE SHIELD (01) | MA |