Individual
DR. WILLIAM EWING PALMER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
55 FRUIT ST, MGH YAWKEY 6030 RADIOLOGY, BOSTON, MA 02114-2621
(617) 726-7719
(617) 726-5282
Mailing address
49 PINCKNEY ST, BOSTON, MA 02114-4801
(617) 726-7719
(617) 726-5282
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
57282
MA
2085R0202X
Diagnostic Radiology Physician
Primary
57282
MA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
3080200
—
MA
01
—
718960
TUFTS HEALTH PLAN
MA
01
—
J10776
BCBS MA
MA
Enumeration date
11/02/2005
Last updated
07/24/2012
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