Individual
JOHN R PERSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
385 SOUTHBRIDGE ST, AUBURN, MA 01501-2498
(508) 721-1180
(508) 721-9106
Mailing address
5 NEPONSET ST FL STREET2, WORCESTER, MA 01606-2714
(508) 368-5532
(508) 721-9106
Taxonomy
Speciality
Code
Description
License number
State
207N00000X
Dermatology Physician
Primary
40651
MA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0300123
EVERCARE
—
01
—
042472266
PRIVATE HEALTHCARE SYSTEM
—
01
—
1061150
FIRST HEALTH
—
01
—
2056402
WELFARE
—
05
—
2056402
—
MA
01
—
26962
CHILDRENS MEDICAL SECURIT
—
01
—
3491751
CIGNA HEALTH PLAN
—
01
—
4215725
AETNA US HEALTHCARE
—
01
—
784066
MVP HEALTH CARE
—
01
—
9900032
FALLON COMMUNITY HEALTH P
—
01
—
AA5971
HARVARD PILGRIM HEALTHCAR
—
01
—
E03011
BLUE SHIELD INDEMNITY
—
Enumeration date
03/11/2006
Last updated
03/19/2019
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