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1053384339

NPI Code Detail

MEDICARE: VIVIAN E ESSWEIN M.D.

MEDICARE: VIVIAN E ESSWEIN M.D.

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	208000000X	Pediatrics Physician	50273	MA

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	000000024044	OTHER	MA	BMC HEALTHNET
2	20239	OTHER	MA	HARVARD PILGRIM
3	96056301	OTHER	MA	NETWORK HEALTH
4	B10423501	OTHER	MA	CIGNA
5	0001371	OTHER	MA	NEIGHBORHOOD HEALTH PLAN
6	1201078	OTHER	MA	UNITED HEALTH
7	205627	OTHER	RI	BCBSRI
8	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
9	402515	OTHER	RI	BCBSBLUECHIP
10	5125930001	OTHER	MA	CIGNA PAL
11	776391	OTHER	MA	TUFTS HEALTH PLAN
12	J03631	OTHER	MA	BCBSMA
13	0820623	OTHER	MA	AETNA
14	23821	OTHER	MA	CMSP
15	MA0018229	OTHER	MA	TRICARE

General Provider Information

NPI Number	:	1053384339
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	VIVIAN E ESSWEIN M.D.

Provider Business Mailing Address
First Line	:	874 PURCHASE ST
Second Line	:
City	:	NEW BEDFORD
State	:	MA
Zip	:	02740-6232
Country	:	US
Telephone Number	:	508-992-6553
Fax Number	:	508-990-7558

Provider Business Practice Location Address
First Line	:	874 PURCHASE ST
Second Line	:
City	:	NEW BEDFORD
State	:	MA
Zip	:	02740-6232
Country	:	US
Telephone Number	:	508-992-6553
Fax Number	:	508-990-7558

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	02/08/2006
Last Update Date	:	11/12/2007

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Directions to “ VIVIAN E ESSWEIN M.D.” Practice Location

Language	Start Address	Practice Location

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