Individual
DR. ETHAN HEALY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
313 SPEEN ST, NATICK, MA 01760
(508) 655-0471
Mailing address
313 SPEEN ST, NATICK, MA 01760-1538
(508) 655-0471
Taxonomy
Speciality
Code
Description
License number
State
207X00000X
Orthopaedic Surgery Physician
Primary
238685
MA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
110083022A
—
MA
01
—
AA148657
HARVARD PILGRIM HELATH CARE
MA
01
—
J44968
BCBS
MA
Enumeration date
01/03/2007
Last updated
05/16/2018
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