Individual
RICHARD AIGEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DMD
Contact information
Practice address
25 NEEDHAM ST, NEWTON, MA 02461-1615
(617) 964-6681
(617) 630-0141
Mailing address
25 NEEDHAM ST, NEWTON, MA 02461-1615
(617) 964-6681
(617) 630-0141
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
13102
MA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0206041
—
MA
01
—
X09304
BLUE CROSS BLUE SHIELD
MA
Enumeration date
07/31/2006
Last updated
07/08/2007
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