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Individual

ROBERT S SPRAGUE

Active
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Individual

ROBERT S SPRAGUE

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
M.D.

Taxonomy

Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
Primary
58455
MA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
0484640
AETNA
MA
01
058455
TUFTS HEALTH PLAN
MA
01
168260
CIGNA
MA
01
2323
HARVARD PILGRIM
MA
01
23898
FALLON COMMUNITY HEALTH
01
29753
UNICARE
MA
05
30006726
NH
05
3115933
MA
01
986224
NETWORK HEALTH
MA
01
J30159
BLUE CROSS BLUE SHIELD
MA
Enumeration date
06/15/2006
Last updated
05/22/2023
Update your record

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