Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 2084N0400X | Neurologist | 51010 | MA |
NPI | 1043251598 |
---|---|
Provider Name | Herbert Markley |
First Address | Princeton, MA 01541-1803 |
Second Address | Worcester, MA 01605-2610 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 08/06/2006 |
Last Update Date | 03/03/2020 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
11406 | HARVARD PILGRIM (01) | MA |
18781 | NEALTH NEW ENGLAND (01) | MA |
2083264 | (05) | MA |
713815 | TUFTS (01) | MA |
B97717 | (02) | MA |
J02169 | BCBS (01) | MA |