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Individual
ROBERT J VIGDERMAN
Active
Individual
ROBERT J VIGDERMAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
242581
MA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
110085491A
—
MA
01
—
4310651015
CIGNA HEALTHCARE
MA
01
—
49147
HEALTH NEW ENGLAND
MA
01
—
AA179715
HARVARD PILGRIM HEALTHCARE
MA
Enumeration date
07/19/2006
Last updated
07/16/2010
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