Individual
THEODORE J KING
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
40 WRIGHT ST, PALMER, MA 01069-1138
(413) 284-5400
(413) 284-5559
Mailing address
40 WRIGHT ST, PALMER, MA 01069-1138
(413) 283-7651
(413) 284-5117
Taxonomy
Speciality
Code
Description
License number
State
207RP1001X
Pulmonary Disease Physician
Primary
56940
MA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
056940
TUFTS COMMUNITY HEALTH PL
—
01
—
1843219002
CIGNA
—
05
—
2057743
—
MA
01
—
23713
HARVARD PILGRIM
—
01
—
290013485
RAILROAD MEDICARE
—
01
—
35217834
CIGNA
—
01
—
4802321
UNITED HEALTH CARE
—
01
—
998296
NETWORK HEALTH
—
01
—
N51575
BLUE CROSS BLUE SHIELD
MA
Enumeration date
07/12/2006
Last updated
02/11/2010
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