1437212339 NPI number — DR. PHILIP E MCCARTHY M.D.

This information contains only most important part of the NPI data, for complete information, including NPI referencing materials please refer to 1437212339 NPI number — DR. PHILIP E MCCARTHY M.D.

Employer Identification Number (EIN):

Provider Organization Name:

Provider Last Name:

MCCARTHY

Provider First Name:

PHILIP

Provider Middle Name:

E

Provider Name Prefix Text:

DR.

Provider Name Suffix Text:

Provider Credential Text:

M.D.

Provider Gender Code:

M

Provider Other Organization Name:

Provider Other Organization Name Type Code:

Provider Other Last Name:

Provider Other First Name:

Provider Other Middle Name:

Provider Other Name Prefix Text:

Provider Other Name Suffix Text:

Provider Other Credential Text:

Provider Other Last Name Type Code:

NPI Number:

1437212339

Entity Type Code:

Individual

Replacement NPI:

Last Update Date:

06/02/2008

NPI Deactivation Reason Code:

NPI Deactivation Date:

NPI Reactivation Date:

Provider First Line Business Mailing Address:

825 WASHINGTON ST STE 270

Provider Second Line Business Mailing Address:

Provider Business Mailing Address City Name:

NORWOOD

Provider Business Mailing Address State Name:

MA

Provider Business Mailing Address Postal Code:

02062-3449

Provider Business Mailing Address Country Code:

US

Provider Business Mailing Address Telephone Number:

781-769-0500

Provider Business Mailing Address Fax Number:

781-769-2267

Provider First Line Business Practice Location Address:

825 WASHINGTON ST

Provider Second Line Business Practice Location Address:

SUITE 270

Provider Business Practice Location Address City Name:

NORWOOD

Provider Business Practice Location Address State Name:

MA

Provider Business Practice Location Address Postal Code:

02062-3441

Provider Business Practice Location Address Country Code:

US

Provider Business Practice Location Address Telephone Number:

781-769-0500

Provider Business Practice Location Address Fax Number:

781-769-2267

Provider Enumeration Date:

12/19/2006

Authorized Official Last Name:

Authorized Official First Name:

Authorized Official Middle Name:

Authorized Official Title or Position:

Authorized Official Telephone Number:

• Taxonomy code: 208600000X , with the licence number:  26292 , registered in the state of MA ; information, associated with the NPI states the following Primary Taxonomy Switch: "Y" .

• Identifier: 000000025800 . This is a "BOSTON MEDICAL" identifier , issued by the state of ( MA ) . This identifiers is of the category "OTHER".
• Identifier: B20232201 . This is a "CIGNA" identifier , issued by the state of ( MA ) . This identifiers is of the category "OTHER".
• Identifier: K06010 . This is a "BLUE CROSS" identifier , issued by the state of ( MA ) . This identifiers is of the category "OTHER".
• Identifier: S03045 . This is a "UNICARE" identifier , issued by the state of ( MA ) . This identifiers is of the category "OTHER".
• Identifier: 0156833 , issued by the state of ( MA ) . This identifiers is of the category "MEDICAID".
• Identifier: 802866 . This is a "PILGRIM HEALTH CARE" identifier , issued by the state of ( MA ) . This identifiers is of the category "OTHER".
• Identifier: 609049600 . This is a "DEPT LABOR" identifier , issued by the state of ( MA ) . This identifiers is of the category "OTHER".
• Identifier: 0084733 . This is a "AETNA" identifier , issued by the state of ( MA ) . This identifiers is of the category "OTHER".
• Identifier: 1702011 . This is a "UNITED HEALTH CARE" identifier , issued by the state of ( MA ) . This identifiers is of the category "OTHER".
• Identifier: 0004974 . This is a "NEIGHBOR HEALTH PLAN" identifier , issued by the state of ( MA ) . This identifiers is of the category "OTHER".
• Identifier: 026292 . This is a "TUFTS HEALTH CARE" identifier , issued by the state of ( MA ) . This identifiers is of the category "OTHER".
• Identifier: 44096 . This is a "BMC HEALTHNET" identifier , issued by the state of ( MA ) . This identifiers is of the category "OTHER".