Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 213E00000X | Podiatrist | 2048 | MA |
Y | 222Z00000X | Podiatrist | 2048 | MA |
NPI | 1003818436 |
---|---|
Provider Name | Rebecca E Southard |
First Address | Scituate, MA 02066-0352 |
Second Address | Scituate, MA 02066-4530 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 15/08/2005 |
Last Update Date | 08/05/2008 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
0000644 | NEIGHBORHOOD HEALTH PLANS (01) | MA |
002048 | TUFTS (01) | MA |
0357871 | (05) | MA |
2316054 | AETNA (01) | MA |
2700098 | UNITED HEALTH CARE (01) | MA |
333403 | PILGRIM (01) | MA |
480018778 | RAILROAD MEDICARE (01) | MA |
B2081900 | CIGNA (01) | MA |
U57343 | (02) | MA |
Y71003 | B/S (01) | MA |