MEDICARE: DR. BERNARD DALE MAGEE MD

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	207VG0400X	Gynecology Physician	44311	MA

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MAN01824	OTHER	MA	BLUE CROSS BLUE SHIELD MA
2	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1962408153
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. BERNARD DALE MAGEE MD

Provider Business Mailing Address
First Line	:	555 MAIN ST
Second Line	:
City	:	SHREWSBURY
State	:	MA
Zip	:	01545-2932
Country	:	US
Telephone Number	:	508-842-2010
Fax Number	:

Provider Business Practice Location Address
First Line	:	555 MAIN ST
Second Line	:
City	:	SHREWSBURY
State	:	MA
Zip	:	01545-2932
Country	:	US
Telephone Number	:	508-842-2010
Fax Number	:

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

Provider Enumeration Date	:	06/22/2005
Last Update Date	:	08/31/2011

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