Individual
MS. DEBORAH K EKSTROM
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
39 SALISBURY ST, WORCESTER, MA 01609-3160
(508) 755-4825
(508) 797-0167
Mailing address
39 SALISBURY ST, WORCESTER, MA 01609-3160
(508) 755-4825
(508) 797-0167
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
55916
MA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
117238
AETNA
MA
01
—
1300139
UNITED HEALTHCARE
MA
01
—
21055
HARVARD PILGRIM
MA
01
—
320430
CIGNA HEALTH
MA
01
—
61333
FALLON HEALTHCARE
MA
01
—
711234
TUFTS
MA
01
—
99165001
NETWORK HEALTH
MA
01
—
M14797
BLUE SHIELD OF MA
MA
Enumeration date
05/09/2006
Last updated
07/09/2007
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