Individual
MRS. LAURA BOTKIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RPT
Contact information
Practice address
7 BURNHAM ST, TURNERS FALLS, MA 01376-1841
(413) 774-7988
(413) 773-7322
Mailing address
PO BOX 32, ERVING, MA 01344-0032
(413) 774-7988
(413) 773-7322
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
5702
MA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000000039351
BMC HEALTHNET
—
01
—
0042242
NEIGHBORHOOD HEALTH PLAN
—
05
—
0376612
—
MA
01
—
468763
TUFTS
—
01
—
BOY67225
BLUE CROSS/BLUE SHIELD
MA
01
—
P00307610
RAILROAD MEDICARE
—
Enumeration date
01/23/2007
Last updated
09/17/2013
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