Individual
JOHN R PERSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
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
Update your record
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