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Individual

DR. JOHN L ETEN

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
204 MAIN ST, ORLEANS MEDICAL CENTER, P.C., ORLEANS, MA 02653-3428
(508) 255-8825
Mailing address
204 MAIN ST, ORLEANS MEDICAL CENTER, P.C., ORLEANS, MA 02653-3428
(508) 255-8825

Taxonomy

Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
51173
MA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
000000031977
BOSTON MEDICAL HEALTHNET
01
01-00821
UNITED HEALTHCARE
01
080130572
RAIL ROAD MEDICARE
01
28599
CHILDREN'S MEDICAL SECURI
MA
05
6185932
MA
01
723878
TUFTS HEALTHCARE
01
7725
HARVARDPILGRIM HEALTHCARE
01
B10436901
CIGNA HEALTHCARE
01
J03410
BLUE CROSS BLUE SHIELD
MA
Enumeration date
03/20/2006
Last updated
06/29/2010
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