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NPI Code Detail

MEDICARE: WILLIAM ALBERT TANGUAY M.D.

MEDICARE: WILLIAM ALBERT TANGUAY 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
1207R00000XInternal Medicine Physician36854MA

Medicare Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
4110214688OTHERRAILROAD MEDICARE

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
10016288OTHERNEIGHBORHOOD HEALTH PLAN
22001893OTHERCIGNA
3974553OTHERNETWORK HEALTH
51629073424OTHERMAFALLON COMMUNITY HEALTH PLAN
65789143OTHERMAAETNA NON HMO
7MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
867884OTHERHEALTHSOURCE
9J03184OTHERMABLUE CROSS BLUE SHIELD
10MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
1162756OTHERMAHARVARD PILGRIM HEALTHCAR
12734732OTHERMATUFTS HEALTH PLAN
131629073424OTHERMAAETNA HMO
1404-07069OTHEREVERCARE
15B74396OTHERNHANTHEM BLUE CROSS

General Provider Information

NPI Number : 1629073424
Entity Type Code : Individual
Provider Name (Legal Business Name) : WILLIAM ALBERT TANGUAY M.D.
Provider Business Mailing Address
First Line : 1 PARKWAY
Second Line :
City : HAVERHILL
State : MA
Zip : 01830-6278
Country : US
Telephone Number : 978-521-3270
Fax Number : 978-374-8479
Provider Business Practice Location Address
First Line : 1 PARKWAY
Second Line :
City : HAVERHILL
State : MA
Zip : 01830-6278
Country : US
Telephone Number : 978-521-3270
Fax Number : 978-374-8479
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 06/17/2005
Last Update Date : 11/21/2012

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