Individual
ALLAN P. BAUSTIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
234 RUSSELL ST, #7, HADLEY, MA 01035-3534
(413) 586-6020
(413) 584-0286
Mailing address
234 RUSSELL ST, #7, HADLEY, MA 01035-3534
(413) 586-6020
(413) 584-0286
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
59425
MA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000000007925
BMC
MA
01
—
04-3194547
NORTHEAST HEALTH DIRECT
MA
01
—
059425
TUFTS
MA
01
—
080116940
MEDICARE RAILROAD
MA
01
—
102441
CIGNA
MA
01
—
20405
HEALTH NEW ENGLAND
MA
01
—
2358467
AETNA
MA
05
—
3033767
—
MA
01
—
71798
HARVARD PILGRIM
MA
01
—
725487
CONNECTICARE
MA
01
—
J07249
BCBSMA
MA
Enumeration date
02/15/2006
Last updated
04/05/2012
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