# DR. EDWIN LINCOLN PALMER

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- **Entity:** Individual
- **Status:** Active
- **Sole proprietor:** No

## Provider details

- **NPI number:** 1962492231
- **Gender:** Man
- **Credential:** MD

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207U00000X | Nuclear Medicine Physician | 49988 | MA | — |
| 2085N0904X | Nuclear Radiology Physician | 49988 | MA | Yes |
| 2085R0202X | Diagnostic Radiology Physician | 49988 | MA | — |

## Other

- **Enumeration date:** 10/26/2005
- **Last updated:** 08/09/2012

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 05 | — | 2087383 | — | MA |
| 01 | — | 727723 | TUFTS HEALTH PLAN | MA |
| 01 | — | C15102 | BCBS MA | MA |