Individual
JEFFREY D BAXTER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
585 LINCOLN ST, WORCESTER, MA 01605-1906
(508) 831-0045
(508) 831-0074
Mailing address
10 MECHANIC ST, SUITE 302, WORCESTER, MA 01608-2420
(508) 792-5400
(508) 831-0074
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
157945
MA
207QA0401X
Addiction Medicine (Family Medicine) Physician
Primary
157945
MA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0003961
NEIGHBORHOOD HEALTH PLAN
MA
01
—
0006767
NHP-GROUP
MA
01
—
0103677
UNITED HEALTH CARE
MA
01
—
042485308
NETWORK HEALTH-GROUP
MA
05
—
1300709
—
MA
01
—
44499
FALLON SELECT
MA
01
—
6032012002
CIGNA
MA
01
—
99733701
NETWORK HEALTH
MA
01
—
AA9738
HARVARD PILGRIM
MA
01
—
J22851
BCBS
MA
01
—
Y10141
BCBS-GROUP
MA
Enumeration date
08/09/2006
Last updated
08/06/2024
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