Provider Demographics
NPI:1457327728
Name:CANDAL, EUGENIO M (MD)
Entity Type:Individual
Prefix:
First Name:EUGENIO
Middle Name:M
Last Name:CANDAL
Suffix:
Gender:M
Credentials:MD
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Mailing Address - Street 1:5 NEPONSET ST FL STREET12
Mailing Address - Street 2:
Mailing Address - City:WORCESTER
Mailing Address - State:MA
Mailing Address - Zip Code:01606-2714
Mailing Address - Country:US
Mailing Address - Phone:508-856-9599
Mailing Address - Fax:508-854-4998
Practice Address - Street 1:5 NEPONSET ST
Practice Address - Street 2:
Practice Address - City:WORCESTER
Practice Address - State:MA
Practice Address - Zip Code:01606-2714
Practice Address - Country:US
Practice Address - Phone:508-856-9599
Practice Address - Fax:508-854-4998
Is Sole Proprietor?:No
Enumeration Date:2006-02-27
Last Update Date:2018-09-26
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
MA219237207W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207W00000XAllopathic & Osteopathic PhysiciansOphthalmology
Provider Identifiers
StateIdentifier IDID TypeIssuer
042472266OtherCHAMPUS
7635482OtherAETNA
J26947OtherBLUE CARE ELECT
A35980OtherMEDICARE B
042472266OtherONE HEALTH PLAN
042472266OtherTHREE RIVERS
MA2023393Medicaid
AA45743OtherHARVARD PILGRIM HLTHCARE
042472266OtherTRICARE
3663592OtherCIGNA HEALTH PLAN
93021OtherFALLON COMM HEALTH PLAN
2023393OtherWELFARE
375018OtherMVP HEALTH CARE
7635482OtherUS HEALTHCARE
042472266OtherTRICARE
042472266OtherTHREE RIVERS