Individual
DR. EDEN ALAN HUTT
Active
Individual
DR. EDEN ALAN HUTT
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
D.C.
Taxonomy
Speciality
Code
Description
License number
State
111NS0005X
Sports Physician Chiropractor
Primary
2222
MA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1025158
AETNA PROVIDER NUMBER
MA
01
—
4409832
UNITED HEALTH CARE ID
MA
01
—
792870
TUFTS PROVIDER NUMBER
MA
01
—
AA7123
HARVARD PILGRIM PROVIDER
MA
01
—
Y36563
BLUE CROSS BLUE SHIELD
MA
Enumeration date
03/27/2007
Last updated
07/08/2007
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