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Individual

DR. ROGER ALLEN ALLCROFT

Active
Sole proprietor

Provider details

NPI number
Gender
Man
Credential
M.D.

Contact information

Practice address
163 CONZ ST, NORTHAMPTON, MA 01060-3848
(413) 586-3200
(413) 587-0970
Mailing address
163 CONZ ST, NORTHAMPTON, MA 01060-3848
(413) 586-3200
(413) 587-0970

Taxonomy

Speciality
Code
Description
License number
State
207YS0123X
Facial Plastic Surgery Physician
Primary
57595
MA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
10131
HEALTH NEW ENGLAND
MA
05
3023222/9751271
MA
01
3677236
AETNA
MA
01
6668066
CIGNA
MA
01
768864
TUFTS HEALTH PLANS
MA
01
799543
CONNECTICARE
MA
01
AA13479
HARVARD PILGRIM
MA
01
J06413/M18763
BC/BS INDIVIDUAL/GROUP
MA
01
P00242595/DD6666
RR MEDICARE INDIVIDUAL/GR
MA
Enumeration date
03/09/2006
Last updated
07/09/2007
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