Gagnon, Alden G

Gagnon, Alden G is an sole proprietor health care provider with primary practice located at 23 Village Sq , Chelmsford MA 01824-2712. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Internal Medicine, Allopathic & Osteopathic Physicians / Hematology. Allopathic & Osteopathic Physicians / Internal Medicine is his primary health care specialty. Gagnon, Alden G can be contacted via phone (978) 256-4121.

Contact Information

Primary practice address
23 Village Sq Chelmsford MA 01824-2712
Phone: (978) 256-4121
Fax: (978) 250-3210
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Internal Medicine 207R00000X 29255 Massachusetts
Allopathic & Osteopathic Physicians / Hematology 207RH0000X 29255 Massachusetts

Profile Details

NPI number 1912966011
LBN Legal business name Gagnon, Alden G
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Mar 20th, 2006
Last updated Jul 8th, 2007 - about 17 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1912966011 NPPES
Massachusetts Other 709837 TUFTS HEALTH PLAN
Massachusetts Other 99390801 TUFTS HEALTH PLAN
Massachusetts Other 60521 TUFTS HEALTH PLAN
Massachusetts Other 20696 TUFTS HEALTH PLAN
Massachusetts Other B13017 TUFTS HEALTH PLAN
Massachusetts MEDICAID 30006380 TUFTS HEALTH PLAN
Massachusetts MEDICAID 0130249 TUFTS HEALTH PLAN
Massachusetts Other 3000077 TUFTS HEALTH PLAN
Massachusetts Other 64833 TUFTS HEALTH PLAN

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