Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 208000000X | Pediatrician | 47333 | MA |
Y | 2080P0202X | Pediatric Cardiologist | 47333 | MA |
NPI | 1033100912 |
---|---|
Provider Name | Robert Geggel |
First Address | Brookline, MA 02446-9135 |
Second Address | Boston, MA 02115-5724 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 31/10/2005 |
Last Update Date | 13/01/2010 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
11532 | NEIGHBORHOOD HEALTH PLAN (01) | MA |
6163 | HEALTH NET (01) | MA |
6183964 | (05) | MA |
7500360 | UNITED HEALTHCARE MA (01) | MA |
99238301 | NETWORK HEALTH (01) | MA |
AA9215 | HARVARD PILGRIM (01) | MA |
B20018101 | CIGNA MA (01) | MA |
D88374 | (02) | |
J03949 | BCBS MA (01) | MA |
RG07571 | (05) | RI |