Individual
DR. ETHAN HEALY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
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
Update your record
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