1659540664 NPI number — DR. MARIA CLARINDA BUENCAMINO-FRANCISCO MD

Table of Contents

General

This information contains only most important part of the NPI data, for complete information, including NPI referencing materials please refer to 1659540664 NPI number — DR. MARIA CLARINDA BUENCAMINO-FRANCISCO MD

Organization/Personal Information

Employer Identification Number (EIN):
Provider Organization Name:
Provider Last Name:
BUENCAMINO-FRANCISCO
Provider First Name:
MARIA CLARINDA
Provider Middle Name:
Provider Name Prefix Text:
DR.
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:
BUENCAMINO-FRANCISCO
Provider Other First Name:
MARIA CLARINDA
Provider Other Middle Name:
ALCID
Provider Other Name Prefix Text:
DR.
Provider Other Name Suffix Text:
Provider Other Credential Text:
MD
Provider Other Last Name Type Code:
2

NPI Number Information

NPI Number:
1659540664
Entity Type Code:
Individual
Replacement NPI:
Last Update Date:
09/27/2024
NPI Deactivation Reason Code:
NPI Deactivation Date:
NPI Reactivation Date:

Provider's Business Mailing Address

Provider First Line Business Mailing Address:
25 RECREATION PARK DR STE 112
Provider Second Line Business Mailing Address:
Provider Business Mailing Address City Name:
HINGHAM
Provider Business Mailing Address State Name:
MA
Provider Business Mailing Address Postal Code:
02043-4256
Provider Business Mailing Address Country Code:
US
Provider Business Mailing Address Telephone Number:
781-795-9980
Provider Business Mailing Address Fax Number:
508-960-1004

Provider's Practice Location Mailing Address

Provider First Line Business Practice Location Address:
25 RECREATION PARK DR STE 112
Provider Second Line Business Practice Location Address:
Provider Business Practice Location Address City Name:
HINGHAM
Provider Business Practice Location Address State Name:
MA
Provider Business Practice Location Address Postal Code:
02043-4256
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
781-795-9980
Provider Business Practice Location Address Fax Number:
508-960-1004
Provider Enumeration Date:
02/23/2008

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: 207R00000X , with the licence number:  241403 , registered in the state of MA ; information, associated with the NPI states the following Primary Taxonomy Switch: "Y" .

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

  • Identifier: 042297845 . This is a "TRICARE" identifier . This identifiers is of the category "OTHER".
  • Identifier: 042297845 . This is a "PHCS/MULTI-PLAN" identifier . This identifiers is of the category "OTHER".
  • Identifier: 1694388 . This is a "CIGNA" identifier . This identifiers is of the category "OTHER".
  • Identifier: J46578 . This is a "BCBSMA" identifier , issued by the state of ( MA ) . This identifiers is of the category "OTHER".
  • Identifier: 1659540664 . This is a "FALLON" identifier . This identifiers is of the category "OTHER".
  • Identifier: 3014355 , issued by the state of ( MA ) . This identifiers is of the category "MEDICAID".
  • Identifier: 042297845 . This is a "HCVM" identifier . This identifiers is of the category "OTHER".
  • Identifier: 1659540664 . This is a "GIC/UNICARE" identifier . This identifiers is of the category "OTHER".
  • Identifier: AA159519 . This is a "HARVARD PILGRIM" identifier . This identifiers is of the category "OTHER".
  • Identifier: 042297845 . This is a "UNITED HEALTH CARE" identifier . This identifiers is of the category "OTHER".
  • Identifier: 753946 . This is a "TUFTS AND TUFTS MEDICARE PREFERRED" identifier . This identifiers is of the category "OTHER".
  • Identifier: 9841208 . This is a "AETNA" identifier . This identifiers is of the category "OTHER".
  • Identifier: 1659540664 . This is a "NHP" identifier , issued by the state of ( MA ) . This identifiers is of the category "OTHER".




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