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Individual

DAVID RALPH URBACH

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
90 TER HEUN DRIVE, SUITE 300, FALMOUTH, MA 02540
(508) 540-0604
(508) 457-0129
Mailing address
90 TER HEUN DRIVE, SUITE 300, FALMOUTH, MA 02540
(508) 540-0604
(508) 457-0129

Taxonomy

Speciality
Code
Description
License number
State
207RC0000X
Cardiovascular Disease Physician
Primary
47033
MA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
000000029642
BOSTON MEDICAL CENTER
MA
01
0022650
NEIGHBORHOOD HEALTH PLAN
01
060058500
MEDICARE ID
MA
01
060058500
TRICARE
01
11091215
CAQH NUMBER
01
1295846962
UNICARE
MA
01
2289127
AETNA
01
2500644
UNITED HEALTH
01
3050
HPH
01
47033
MA LICENSE
05
6175597
MA
01
703682
TUFTS
01
B20978401
CIGNA
01
J02818
BCBS
01
MU0261987A
MA CDS
Enumeration date
08/31/2006
Last updated
03/07/2023
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