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Individual

DR. SAMIR PATEL

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
M.D.

Contact information

Practice address
163 LIBBEY INDUSTRIAL PKWY, SUITE 301, WEYMOUTH, MA 02189-3137
(781) 337-4224
(781) 335-0429
Mailing address
163 LIBBEY INDUSTRIAL PKWY, SUITE 301, WEYMOUTH, MA 02189-3137
(781) 337-4224
(781) 335-0429

Taxonomy

Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
Primary
157094
MA
207LC0200X
Critical Care Medicine (Anesthesiology) Physician
157094
MA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
157094
TUFTS HEALTH PLAN
MA
01
277311
HARVARD PILGRIM
MA
05
3187578
MA
01
39955
FALLON
MA
01
42738
HEALTHY START
MA
01
G53914
TRICARE
MA
01
J19030
BLUE SHIELD
MA
01
P00180972
PALMETTO GBA
MA
Enumeration date
07/26/2006
Last updated
04/21/2020
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