Provider Demographics
NPI:1265487680
Name:DARR, ELIZABETH R (MD)
Entity Type:Individual
Prefix:
First Name:ELIZABETH
Middle Name:R
Last Name:DARR
Suffix:
Gender:F
Credentials:MD
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Mailing Address - Street 1:630 PLANTATION STREET
Mailing Address - Street 2:WOT 12TH FLOOR ATTN PHYSICIAN SERVICES
Mailing Address - City:WORCESTER
Mailing Address - State:MA
Mailing Address - Zip Code:01605
Mailing Address - Country:US
Mailing Address - Phone:508-368-5529
Mailing Address - Fax:508-368-5530
Practice Address - Street 1:165 MILL ST
Practice Address - Street 2:
Practice Address - City:LEOMINSTER
Practice Address - State:MA
Practice Address - Zip Code:01453
Practice Address - Country:US
Practice Address - Phone:978-466-3207
Practice Address - Fax:978-534-3581
Is Sole Proprietor?:Not Answered
Enumeration Date:2006-05-24
Last Update Date:2007-07-09
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Provider Licenses
StateLicense IDTaxonomies
MA214133207V00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207V00000XAllopathic & Osteopathic PhysiciansObstetrics & Gynecology
Provider Identifiers
StateIdentifier IDID TypeIssuer
AA6076OtherHARVARD PILGRIM HEALTHCAR
A34465OtherMEDICARE B
0176150OtherMEDICAID WELFARE
40163OtherHEALTHY START
J25288OtherBLUE SHIELD INDEMNITY
1128959OtherFIRST HEALTH
J25288OtherBLUE CARE ELECT
0700549OtherEVERCARE
55302OtherFALLON COMMUNITY HEALTH P
J25288OtherBLUE SHIELD HMO BLUE
40163OtherCHILDRENS MEDICAL SECURIT
MA0176150Medicaid
7066171OtherCIGNA HEALTH PLAN
784220OtherMVP HEALTH CARE
55302OtherFALLON COMMUNITY HEALTH P
40163OtherCHILDRENS MEDICAL SECURIT
A34465OtherMEDICARE B