Individual
DR. LAWRENCE G PINCUS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
100 MLK JR BLVD, 2ND FL, WORCESTER, MA 01608-1209
(508) 757-1589
(508) 756-5633
Mailing address
100 MLK JR BLVD, 2ND FL, WORCESTER, MA 01608-1209
(508) 757-1589
(508) 756-5633
Taxonomy
Speciality
Code
Description
License number
State
207KA0200X
Allergy Physician
Primary
216605
MA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0029831
NEIGHBORHOOD HEALTH PLAN
MA
01
—
0200265
UNITED HEALTHCARE
MA
01
—
042923137
TAX ID GROUP NUMBER
MA
01
—
1530
HARVARD PILGRIM
MA
05
—
2044960
—
MA
01
—
216605
TUFTS HEALTHPLAN
MA
01
—
3076792
AETNA US HEALTHCARE
MA
01
—
326052
CIGNA HEALTHCARE
MA
01
—
67551
FALLON
MA
01
—
973519
NETWORK HEALTH
MA
01
—
J26487
BLUE CROSS BLUE SHIELD
MA
Enumeration date
06/09/2005
Last updated
09/03/2008
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