Individual
DR. JOHN DAVID ECKELMAN
Active
Individual
DR. JOHN DAVID ECKELMAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PHD
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
3048
MA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
005705
VALUE OPTIONS
MA
01
—
04343088005
PACIFICARE
MA
05
—
0516937
—
MA
01
—
32502MS
HARVARD PILGRIM HEALTH CA
MA
01
—
4200242
AETNA
MA
01
—
720120
TUFTS HEALTH PLAN
MA
01
—
ECW03181
BLUE CROSS BLUE SHIELD
MA
Enumeration date
08/10/2006
Last updated
07/08/2007
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