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Individual

WILLIAM D SELIM

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
630 PLANTATION ST, WORCESTER, MA 01605
(508) 852-8570
(508) 852-1022
Mailing address
630 PLANTATION ST, WORCESTER, MA 01605
(508) 852-8570
(508) 852-1022

Taxonomy

Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
50186
MA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
0181919
MEDICAID WELFARE
05
0181919
MA
01
042472266
ONE HEALTH PLAN
01
1293416
FALLON COMMUNITY HEALTH P
01
2047118
FIRST HEALTH
01
28364
CHILDRENS MEDICAL SECURIT
01
4570514
AETNA US HEALTHCARE
01
6658558
CIGNA HEALTH PLAN
01
784189
MVP HEALTH CARE
01
AA1270
HARVARD PILGRIM HEALTHCAR
01
H05070
BLUE SHIELD HMO BLUE
Enumeration date
03/18/2006
Last updated
02/24/2009
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