Plovnick, Herbert S
Plovnick, Herbert S is an individual health care provider with primary practice located at 26 City Hall Mall Internal Medicine, Medford MA 02155-4754. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Internal Medicine, Allopathic & Osteopathic Physicians / Endocrinology, Diabetes & Metabolism. Allopathic & Osteopathic Physicians / Internal Medicine is his primary health care specialty. Plovnick, Herbert S can be contacted via phone (781) 306-5345.Contact Information
Primary practice address
26 City Hall Mall Internal Medicine
Medford MA 02155-4754
Phone: (781) 306-5345
Fax: (781) 306-5015
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Internal Medicine | 207R00000X | 38333 | Massachusetts |
| Allopathic & Osteopathic Physicians / Endocrinology, Diabetes & Metabolism | 207RE0101X | 38333 | Massachusetts |
Profile Details
| NPI number | 1396780904 |
|---|---|
| LBN Legal business name | Plovnick, Herbert S |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jun 18th, 2006 |
| Last updated | Jun 15th, 2011 - about 15 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1396780904 | NPPES |
| Massachusetts | Other | M09787 | BLUE CROSS |
| Massachusetts | Other | 705817 | BLUE CROSS |
| Massachusetts | MEDICAID | 0119873 | BLUE CROSS |
| Massachusetts | Other | 0015311 | BLUE CROSS |
| Massachusetts | Other | V534 | BLUE CROSS |
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