Provider Demographics
NPI:1568449817
Name:CUTLER, WILLIAM S (MD)
Entity Type:Individual
Prefix:
First Name:WILLIAM
Middle Name:S
Last Name:CUTLER
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
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Mailing Address - Street 1:421 N MAIN ST
Mailing Address - Street 2:
Mailing Address - City:LEEDS
Mailing Address - State:MA
Mailing Address - Zip Code:01053-9764
Mailing Address - Country:US
Mailing Address - Phone:413-582-3010
Mailing Address - Fax:413-582-3185
Practice Address - Street 1:421 N MAIN ST
Practice Address - Street 2:
Practice Address - City:LEEDS
Practice Address - State:MA
Practice Address - Zip Code:01053-9764
Practice Address - Country:US
Practice Address - Phone:413-582-3010
Practice Address - Fax:413-582-3185
Is Sole Proprietor?:No
Enumeration Date:2005-12-28
Last Update Date:2010-12-10
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
MA74884207R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
MA04-2161484OtherUNICARE/GIC
MA04-2161484OtherGREAT-WEST
MA04-2161484OtherNORTHEAST HEALTH DIRECT
MA04-2161484OtherPIONEER HEALTH NETWORK
MA10243801OtherCIGNA
MD11633OtherHEALTH NEW ENGLAND
MAJ14176OtherBCBSMA
MA04-2161484OtherNORTH AMERICAN PREFERRED
MA074884OtherTUFTS
MA04-2161484OtherCONSOLIDATED
MA04-2161484OtherNORTHEAST HEALTHCARE ALLI
MA0523856OtherAETNA
MA04-2161484OtherPLAN VISTA
MA1302469Medicaid
MA65967OtherHARVARD PILGRIM
MA763484OtherCONNECTICARE
MA00000023413OtherBMC
MA04-2161484OtherPRIVATE HEALTHCARE SYSTEM
MA10243801OtherCIGNA
MA1302469Medicaid