Provider Demographics
NPI:1295846962
Name:URBACH, DAVID RALPH (MD)
Entity Type:Individual
Prefix:
First Name:DAVID
Middle Name:RALPH
Last Name:URBACH
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
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Other - Last Name:
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Other - Credentials:
Mailing Address - Street 1:90 TER HEUN DRIVE
Mailing Address - Street 2:SUITE 300
Mailing Address - City:FALMOUTH
Mailing Address - State:MA
Mailing Address - Zip Code:02540
Mailing Address - Country:US
Mailing Address - Phone:508-540-0604
Mailing Address - Fax:508-457-0129
Practice Address - Street 1:90 TER HEUN DRIVE
Practice Address - Street 2:SUITE 300
Practice Address - City:FALMOUTH
Practice Address - State:MA
Practice Address - Zip Code:02540
Practice Address - Country:US
Practice Address - Phone:508-540-0604
Practice Address - Fax:508-457-0129
Is Sole Proprietor?:No
Enumeration Date:2006-08-31
Last Update Date:2023-03-07
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
MA47033207RC0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RC0000XAllopathic & Osteopathic PhysiciansInternal MedicineCardiovascular Disease
Provider Identifiers
StateIdentifier IDID TypeIssuer
0022650OtherNEIGHBORHOOD HEALTH PLAN
J02818OtherBCBS
MA1295846962OtherUNICARE
MA1295846962OtherNETWORK HEALTH
3050OtherHPH
703682OtherTUFTS
MA000000029642OtherBOSTON MEDICAL CENTER
J02818OtherMEDICARE
MU0261987AOtherMA CDS
11091215OtherCAQH NUMBER
MA1295846962OtherGREAT WEST HEALTHCARE
2289127OtherAETNA
2500644OtherUNITED HEALTH
MA6175597Medicaid
060058500OtherTRICARE
MA060058500OtherMEDICARE ID
47033OtherMA LICENSE
B20978401OtherCIGNA
B20978401OtherCIGNA
A56848Medicare UPIN
J02818Medicare ID - Type Unspecified