Individual
SIMON N MCRAE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Taxonomy
Speciality
Code
Description
License number
State
208800000X
Urology Physician
Primary
209442
MA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0144401
MEDICAID WELFARE
—
05
—
0144401
—
MA
01
—
042472266
PRIVATE HEALTHCARE SYSTEM
—
01
—
1900334
EVERCARE
—
01
—
209442
TUFTS HEALTH PLAN
—
01
—
4865766
CIGNA HEALTH PLAN
—
01
—
51979
FALLON COMMUNITY HEALTH P
—
01
—
62203
CHILDRENS MEDICAL SECURIT
—
01
—
7501279
AETNA US HEALTHCARE
—
01
—
784051
MVP HEALTH CARE
—
01
—
AA13997
HARVARD PILGRIM HEALTHCAR
—
01
—
J23861
BLUE SHIELD INDEMNITY
—
Enumeration date
03/15/2006
Last updated
02/18/2009
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