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Individual
REBECCA L KONKLE
Active
Individual
REBECCA L KONKLE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
59333
MA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
059333
TUFTS
MA
05
—
3034461
—
MA
01
—
HV0026
HARVARD PILGRIM
MA
01
—
J07532
BLUE CROSS
MA
Enumeration date
03/14/2006
Last updated
05/03/2018
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