Individual
DR. PARESH K THAKKAR
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
13 WABANAKI WAY, ANDOVER, MA 01810-5524
(978) 470-3592
Mailing address
13 WABANAKI WAY, ANDOVER, MA 01810-5524
(978) 470-3592
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
53603
MA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
053603
TUFTS
MA
01
—
30207119
NH MEDICAID-EDS
NH
05
—
6193811
—
MA
01
—
70222
HARVARD PILGRIM HEALTHCARE
MA
01
—
7418667
CIGNA
—
01
—
976524-01
NETWORK HEALTH
MA
01
—
J40514
BCBS OF MASS
MA
Enumeration date
09/24/2006
Last updated
09/26/2008
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