Individual
DR. RICHARD G SELBST
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
354 MERRIMACK ST, LAWRENCE, MA 01843-1754
(978) 687-2321
(978) 685-7265
Mailing address
354 MERRIMACK ST, LAWRENCE, MA 01843-1754
(978) 687-2321
(978) 685-7265
Taxonomy
Speciality
Code
Description
License number
State
2084N0400X
Neurology Physician
Primary
49677
MA
2084N0400X
Neurology Physician
6606
NH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00000166
—
NH
01
—
0003751
NHP
MA
01
—
0102760Y0MA01
ANTHEM
NH
05
—
0167703
—
MA
01
—
05-00022
UHC
MA
01
—
05-00255
EVERCARE
MA
01
—
1127308-001
CIGNA
MA
01
—
11731
HPHC
MA
01
—
23597
FCHP
MA
01
—
4460335
AETNA
MA
01
—
715264
THP
MA
01
—
D02067
BCBS
MA
Enumeration date
10/04/2005
Last updated
07/09/2007
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