Individual
EDWARD P BUTLER
Active
Individual
EDWARD P BUTLER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Taxonomy
Speciality
Code
Description
License number
State
207RI0200X
Infectious Disease Physician
Primary
40936
MA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0111139
—
MA
01
—
040936
TUFTS
MA
01
—
63278
HARVARD PILGRIM
MA
01
—
EO5327
BLUE CROSS LEGACY #
MA
Enumeration date
11/14/2005
Last updated
04/03/2013
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