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NPI Code Detail

MEDICARE: DR. PAUL STEVEN THALER M.D.

MEDICARE: DR. PAUL STEVEN THALER 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
1207Q00000XFamily Medicine Physician43610MA

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
11293446OTHERMAFALLON
22211873 02OTHERMAUNITED HEALTH CARE
3043610OTHERMATUFTS
4000000008371OTHERMABMC
52329754OTHERMAAETNA
6A55210OTHERMAHARVARD PILGRIM HEALTH PLAN
7G01059OTHERMABLUE CROSS & BLUE SHIELD
8MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
924201OTHERMAHEALTH NEW ENGLAND
10102730OTHERMACIGNA
11769456-7879OTHERMACONNECTICARE

General Provider Information

NPI Number : 1538169594
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. PAUL STEVEN THALER M.D.
Provider Business Mailing Address
First Line : PO BOX 8019
Second Line :
City : SPRINGFIELD
State : MA
Zip : 01102-8000
Country : US
Telephone Number : 866-431-4077
Fax Number : 413-774-7448
Provider Business Practice Location Address
First Line : 70 MAIN ST
Second Line : NORTHAMPTON HEALTH CENTER
City : FLORENCE
State : MA
Zip : 01062-1466
Country : US
Telephone Number : 413-586-8400
Fax Number : 413-585-5435
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 07/29/2005
Last Update Date : 06/17/2008

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