Individual
MR. ALAN HOWARD BULLOCK
Active
Sole proprietor
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
3455 MAIN STREET, STE 2, SPRINGFIELD, MA 01107-1140
(413) 746-9142
(413) 746-2455
Mailing address
3455 MAIN STREET, STE 2, SPRINGFIELD, MA 01107-1140
(413) 746-9142
(413) 746-2455
Taxonomy
Speciality
Code
Description
License number
State
207X00000X
Orthopaedic Surgery Physician
Primary
39776
MA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
00000002511
HEALTH NET
—
01
—
0018811
NEIGHBORHOOD H
—
01
—
039776
TUFTS
—
01
—
171149
HARVARD PILGRIM
—
01
—
19468
CHP
—
01
—
2044986
MASS HEALTH
—
05
—
2044986
—
MA
01
—
29340
HNE
—
01
—
397760
CONNECTICARE
—
01
—
7092358002
CIGNA
—
01
—
782607
AETNA
—
01
—
N51651
BLUE SHIELD
—
01
—
S025856 OR 368515
CHAMPUS TRICARE
—
Enumeration date
05/03/2006
Last updated
07/08/2007
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