Individual
MARTHA BORGES WAITE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
64 BOYDEN RD, HOLDEN, MA 01520
(508) 885-2003
(508) 885-8071
Mailing address
630 PLANTATION ST, WORCESTER, MA 01605-2038
(508) 885-2003
(508) 885-8071
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
73863
MA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
042472266
THREE RIVERS
—
01
—
1061488
FIRST HEALTH
—
05
—
110053797A
—
MA
01
—
27044
CHILDRENS MEDICAL SECURIT
—
01
—
3548144
CIGNA HEALTHSOURCE
—
01
—
4532668
AETNA US HEALTHCARE
—
01
—
784208
MVP HEALTH CARE
—
01
—
991088
FALLON COMMUNITY HEALTH
—
01
—
AA1183
HARVARD PILGRIM
—
01
—
J30184
BLUE CARE SELECT
—
Enumeration date
12/14/2005
Last updated
06/01/2018
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