Individual
DR. MICHAEL BARUCH ZACK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
101 MAIN ST, SUITE 110, MEDFORD, MA 02155-4540
(781) 391-6318
(781) 391-2709
Mailing address
101 MAIN ST, SUITE 110, MEDFORD, MA 02155-4540
(781) 391-6318
(781) 391-2709
Taxonomy
Speciality
Code
Description
License number
State
207RP1001X
Pulmonary Disease Physician
Primary
33803
MA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0004629
NEIGHBORHOOD HEALTH
MA
05
—
2050765
—
MA
01
—
21767
AETNA
MA
01
—
23012
HARVARD PILGRIM
MA
01
—
293909063
RAILROAD MEDICARE
MA
01
—
40321
FALLON
MA
01
—
4804295
UNITED HEALTH
MA
01
—
708639
TUFTS
MA
01
—
993560
NETWORK HEALTH
MA
01
—
B10153001
CIGNA
MA
Enumeration date
11/02/2005
Last updated
03/13/2013
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