Individual
DR. PAUL A MENITOFF
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
73 PRINCETON ST, SUITE 203, N CHELMSFORD, MA 01863-1558
(978) 256-6579
(978) 256-1943
Mailing address
73 PRINCETON ST, SUITE 203, N CHELMSFORD, MA 01863-1558
(978) 256-6579
(978) 256-1943
Taxonomy
Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
Primary
45199
MA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0022320
NHP
MA
01
—
015479
TRICARE
MA
05
—
0195618
—
MA
01
—
01Y001001MA01
ANTHEM BCBSNH
NH
01
—
043476807-10
PACIFICARE
MA
01
—
1042592
CIGNA
MA
01
—
260042644
RAILROAD MEDICARE
MA
01
—
4598495
AETNA
MA
01
—
700947
SECURE HORIZON
MA
01
—
93685000
MAGELLAN
MA
01
—
978790
NETWORK HEALTH
MA
01
—
B13055
BCBSMA
MA
Enumeration date
11/16/2005
Last updated
05/18/2015
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