Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 207RC0200X | Critical Care Medicine | 80753 | MA |
Y | 207RP1001X | Pulmonary Disease | 80753 | MA |
NPI | 1033132428 |
---|---|
Provider Name | Raymond D. Petit |
First Address | Attleboro, MA 02703-2442 |
Second Address | Attleboro, MA 02703-2442 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 26/07/2006 |
Last Update Date | 23/01/2013 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
000000028145 | BMC HEALTHNET (01) | MA |
080753 | TUFTS (01) | MA |
204279 | RIBC (01) | |
3135811 | (05) | MA |
351 | FALLON (01) | MA |
4801031 | UHC (01) | |
64661 | HPHC (01) | MA |
B10130901 | CIGNA (01) | MA |
E88743 | (02) | MA |
J16017 | MABC (01) | MA |