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Individual

MR. LEE I CORWIN

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MD PC

Contact information

Practice address
45 RESNIK RD, SUITE 207, PLYMOUTH, MA 02360
(508) 746-9040
(508) 746-9041
Mailing address
45 RESNIK RD, SUITE 207, PLYMOUTH, MA 02360
(508) 746-9040
(508) 746-9041

Taxonomy

Speciality
Code
Description
License number
State
2084N0400X
Neurology Physician
Primary
48023
MA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
0500656
UNITED HEALTHCARE
MA
01
111189
HPHC
MA
01
130025969
RR MEDICARE
MA
01
2790297
AETNA
MA
01
705224
TUFTS
MA
05
9722581
MA
01
C15094
BCBS
MA
Enumeration date
09/08/2006
Last updated
07/08/2007
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