1538166921 NPI number — ELIZABETH A FOLEY MD

Table of content: ELIZABETH A FOLEY MD (NPI 1538166921)

General

This information contains only most important part of the NPI data, for complete information, including NPI referencing materials please refer to 1538166921 NPI number — ELIZABETH A FOLEY MD

Organization/Personal Information

Employer Identification Number (EIN):
Provider Organization Name:
Provider Last Name:
FOLEY
Provider First Name:
ELIZABETH
Provider Middle Name:
A
Provider Name Prefix Text:
Provider Name Suffix Text:
Provider Credential Text:
MD
Provider Gender Code:
F

Provider's Other Name Information

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 Information

NPI Number:
1538166921
Entity Type Code:
Individual
Replacement NPI:
Last Update Date:
12/05/2011
NPI Deactivation Reason Code:
NPI Deactivation Date:
NPI Reactivation Date:

Provider's Business Mailing Address

Provider First Line Business Mailing Address:
340 MAIN ST
Provider Second Line Business Mailing Address:
SUITE 670
Provider Business Mailing Address City Name:
WORCESTER
Provider Business Mailing Address State Name:
MA
Provider Business Mailing Address Postal Code:
01608
Provider Business Mailing Address Country Code:
US
Provider Business Mailing Address Telephone Number:
508-754-3566
Provider Business Mailing Address Fax Number:
508-438-6368

Provider's Practice Location Mailing Address

Provider First Line Business Practice Location Address:
333 ELM ST
Provider Second Line Business Practice Location Address:
STE. 205
Provider Business Practice Location Address City Name:
DEDHAM
Provider Business Practice Location Address State Name:
MA
Provider Business Practice Location Address Postal Code:
02026-4530
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
781-251-0029
Provider Business Practice Location Address Fax Number:
781-251-0229
Provider Enumeration Date:
06/30/2005

Additional Information

Authorized Official

Authorized Official Last Name:
Authorized Official First Name:
Authorized Official Middle Name:
Authorized Official Title or Position:
Authorized Official Telephone Number:

Provider Taxonomy Codes

  • Taxonomy code: 202K00000X , with the licence number:  72659 , registered in the state of MA ; information, associated with the NPI states the following Primary Taxonomy Switch: "Y" .
  • Taxonomy code: 207V00000X , with the licence number: 72659 , registered in the state of MA ; information, associated with the NPI states the following Primary Taxonomy Switch: "N" .

Other Provider's Identifiers (legacy, non-NPI)

  • Identifier: 13725 . This is a "HARVARD PILGRIM POS" identifier . This identifiers is of the category "OTHER".
  • Identifier: 0016762 . This is a "NEIGHBORHOOD HEALTH PLAN" identifier . This identifiers is of the category "OTHER".
  • Identifier: 8186449 . This is a "HEALTHSOURCE MASS." identifier . This identifiers is of the category "OTHER".
  • Identifier: J11407 . This is a "BS- BLUE CARE ELECT" identifier . This identifiers is of the category "OTHER".
  • Identifier: J11407 . This is a "HMO BLUE/BLUE CHOICE" identifier . This identifiers is of the category "OTHER".
  • Identifier: 072659 . This is a "TUFTS COMMONWEALTH PPO" identifier . This identifiers is of the category "OTHER".
  • Identifier: 8186449 . This is a "CIGNA HEALTH CARE" identifier . This identifiers is of the category "OTHER".
  • Identifier: J11407 . This is a "BLUE SHIELD-INDEMNITY" identifier . This identifiers is of the category "OTHER".
  • Identifier: 07-00753 . This is a "UNITED HEALTHCARE HMO PPO" identifier . This identifiers is of the category "OTHER".
  • Identifier: 13725 . This is a "HARVARD/PILGRIM" identifier . This identifiers is of the category "OTHER".
  • Identifier: E93037 . This is a "FIRST SENIORITY" identifier . This identifiers is of the category "OTHER".
  • Identifier: 072659 . This is a "TUFTS" identifier . This identifiers is of the category "OTHER".
  • Identifier: 072659 . This is a "TUFTS BENEFIT ADMIN." identifier . This identifiers is of the category "OTHER".
  • Identifier: 072659 . This is a "TUFTS TOTAL HEALTH PLAN" identifier . This identifiers is of the category "OTHER".
  • Identifier: 13725 . This is a "HARVARD PILGRIM PPO" identifier . This identifiers is of the category "OTHER".
  • Identifier: 16003690 . This is a "RAILROAD/MEDICARE" identifier . This identifiers is of the category "OTHER".
  • Identifier: 27397 . This is a "CHILDREN'S MEDICAL SEC." identifier . This identifiers is of the category "OTHER".




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