Individual
OWEN ROBERT MCCONVILLE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Taxonomy
Speciality
Code
Description
License number
State
207X00000X
Orthopaedic Surgery Physician
Primary
57979
MA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
057979
TUFTS HEALTH PLAN
—
01
—
106348
BLUE SHIELD
—
01
—
171347
HARVARD PILGRIM HEALTH
—
05
—
3026604
—
MA
01
—
341179
ONE HEALTH
—
01
—
900078
UNITED HEALTH CARE
—
01
—
B20457701
CIGNA HEALTH CARE
—
Enumeration date
08/10/2005
Last updated
10/11/2011
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