Individual
DENNIS W MAKI
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
55 LAKE AVE N, ACC BUILDING DEPT OF CARDIOLOGY, WORCESTER, MA 01655-0002
(508) 334-3452
Mailing address
PO BOX 415348, BOSTON, MA 02241-5348
Taxonomy
Speciality
Code
Description
License number
State
207RC0000X
Cardiovascular Disease Physician
Primary
39744
MA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
042472266
ONE HEALTH PLAN
—
01
—
060056682
RAILROAD MEDICARE
—
01
—
2069628
WELFARE
—
05
—
2069628
—
MA
01
—
28010
CHILDRENS MED SECURITY PL
—
01
—
4065786
AETNA
—
01
—
784048
MVP HEALTH CARE
—
01
—
917934
FIRST HEALTH
—
01
—
9526220
CIGNA HEALTH PLAN
—
01
—
9900080
FALLON COMM HEALTH PLAN
—
01
—
AA2360
HARVARD PILGRIM HEALTHCAR
—
01
—
N01811
MEDICARE B
—
Enumeration date
08/10/2006
Last updated
06/30/2011
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