Individual
JOHN C BATBOUTA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
407 MAIN ST, SPENCER, MA 01562
(508) 885-9737
(508) 885-6139
Mailing address
630 PLANTATION ST, WORCESTER, MA 01605
(508) 885-9737
(508) 885-6139
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
44903
MA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0141038
MEDICAID WELFARE
—
05
—
0141038
—
MA
01
—
042472266
ONE HEALTH PLAN
—
01
—
043058466
HEALTHCARE VALUE MANAGMEN
—
01
—
26851
HEALTHY START
—
01
—
4034909
AETNA US HEALTHCARE
—
01
—
5020732
CIGNA HEALTH PLAN
—
01
—
784246
MVP HEALTH CARE
—
01
—
934922
FIRST HEALTH
—
01
—
9900035
FALLON COMMUNITY HEALTH P
—
01
—
AA1193
HARVARD PILGRIM HEALTHCAR
—
01
—
E47011
BLUE SHIELD HMO BLUE
—
Enumeration date
03/22/2006
Last updated
01/30/2009
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