Individual
DR. MICHAEL T WATKINS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Taxonomy
Speciality
Code
Description
License number
State
2086S0129X
Vascular Surgery Physician
Primary
56029
MA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
056029
TUFTS HEALTH PLAN
MA
05
—
3028232
—
MA
01
—
J06928
BCBS MA
MA
Enumeration date
11/30/2005
Last updated
01/03/2013
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