Provider Demographics
NPI:1437212339
Name:MCCARTHY, PHILIP E (MD)
Entity Type:Individual
Prefix:DR
First Name:PHILIP
Middle Name:E
Last Name:MCCARTHY
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:825 WASHINGTON ST STE 270
Mailing Address - Street 2:
Mailing Address - City:NORWOOD
Mailing Address - State:MA
Mailing Address - Zip Code:02062-3449
Mailing Address - Country:US
Mailing Address - Phone:781-769-0500
Mailing Address - Fax:781-769-2267
Practice Address - Street 1:825 WASHINGTON ST
Practice Address - Street 2:SUITE 270
Practice Address - City:NORWOOD
Practice Address - State:MA
Practice Address - Zip Code:02062-3441
Practice Address - Country:US
Practice Address - Phone:781-769-0500
Practice Address - Fax:781-769-2267
Is Sole Proprietor?:Yes
Enumeration Date:2006-12-19
Last Update Date:2008-06-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MA26292208600000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208600000XAllopathic & Osteopathic PhysiciansSurgery
Provider Identifiers
StateIdentifier IDID TypeIssuer
MA000000025800OtherBOSTON MEDICAL
MAB20232201OtherCIGNA
MAK06010OtherBLUE CROSS
MAS03045OtherUNICARE
MA0156833Medicaid
MA802866OtherPILGRIM HEALTH CARE
MA609049600OtherDEPT LABOR
MA0084733OtherAETNA
MA1702011OtherUNITED HEALTH CARE
MA0004974OtherNEIGHBOR HEALTH PLAN
MA026292OtherTUFTS HEALTH CARE
MA44096OtherBMC HEALTHNET
MAB20232201OtherCIGNA
MA802866OtherPILGRIM HEALTH CARE
MA0156833Medicaid