Individual
ERIC DAVID LIBBY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
955 MAIN ST, WINCHESTER, MA 01890-4302
(781) 729-5855
Mailing address
955 MAIN ST, SUITE 206, WINCHESTER, MA 01890-4302
(781) 729-5855
Taxonomy
Speciality
Code
Description
License number
State
207RG0100X
Gastroenterology Physician
Primary
79352
MA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
079352
TUFTS HEALTH
MA
01
—
303380
HARVARD PILGRIM HEALTH
—
05
—
3126072
—
MA
01
—
509647
US HEALTH
MA
01
—
J30490
BLUE CROSS & BLUE SHIELD
MA
Enumeration date
06/07/2006
Last updated
11/06/2012
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