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Individual
MARY G PEARSON
Active
Individual
MARY G PEARSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DO
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
76376
MA
207Q00000X
Family Medicine Physician
Primary
9106
NH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0402142YPNH01
BCBS NH
NH
01
—
15221
CIGNA NH
NH
01
—
3084720
AETNA HMO
NH
05
—
3119076
—
MA
05
—
40226429
—
NH
01
—
4480241
AETNA PPO
NH
01
—
723885
TUFTS HEALTH PLAN
MA
01
—
B10383301
CIGNA MASSACHUSETTS
MA
01
—
F30970
HARVARD PILGRIM
MA
01
—
J12643
BCBS MA
MA
Enumeration date
03/23/2006
Last updated
03/05/2009
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