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Individual

DR. SAMUEL H DOPPELT

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MD

Taxonomy

Speciality
Code
Description
License number
State
207X00000X
Orthopaedic Surgery Physician
Primary
42986
MA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
2067749
MA
01
702039
TUFTS HEALTH PLAN
MA
01
M09894
BCBS MA
MA
Enumeration date
11/15/2006
Last updated
12/02/2011
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