Organization
DIGITRACE CARE SERVICES, INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
CARL R IBERGER (CFO-EVP)
(978) 536-7400
Entity
Organization
Contact information
Practice address
1010 GAR HWY, 1ST FLOOR UNIT 2, SWANSEA, MA 02777-4566
(917) 472-9821
Mailing address
200 CORPORATE PL, 5B, PEABODY, MA 01960-3840
(978) 536-7400
Taxonomy
Speciality
Code
Description
License number
State
261QS1200X
Sleep Disorder Diagnostic Clinic/Center
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0274
NEIGHBORHOOD HEALTH RI
MA
01
—
2860005
AETNA HMO
MA
01
—
3400027
UNITED HEALTHCARE
MA
01
—
409503
BLUECHIP
MA
01
—
607536
TUFTS
MA
01
—
6178
FALLON
MA
01
—
626067
HARVARD PILGRIM
MA
01
—
7618325
AETNA PPO
MA
01
—
9468
NEIGHBORHOOD HEALTH MA
MA
Enumeration date
06/11/2006
Last updated
10/15/2009
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