Individual
ALLEN MANSFIELD DENNISON
Active
Individual
ALLEN MANSFIELD DENNISON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
MD 06104
RI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0000000303
B/S
RI
01
—
000630
BCHIP
RI
01
—
04-00518
UNITED HEALTH CARE
RI
01
—
110113980
RAILROAD MEDICARE
RI
01
—
3822
NEIGHBORHOOD HEALTH
RI
01
—
406137
TUFTS HEALTH PLAN
RI
01
—
697704
HARVARD PILGRIM HEALTH
RI
05
—
AD00546
—
RI
Enumeration date
08/02/2005
Last updated
07/10/2012
Update your record
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