Provider Demographics
NPI:1588638431
Name:PLATT, JOHN C (MD)
Entity Type:Individual
Prefix:
First Name:JOHN
Middle Name:C
Last Name:PLATT
Suffix:
Gender:M
Credentials:MD
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Mailing Address - Street 1:4 BROTHERTON WAY
Mailing Address - Street 2:
Mailing Address - City:AUBURN
Mailing Address - State:MA
Mailing Address - Zip Code:01501-2684
Mailing Address - Country:US
Mailing Address - Phone:508-721-1170
Mailing Address - Fax:508-832-0859
Practice Address - Street 1:385 SOUTHBRIDGE ST
Practice Address - Street 2:
Practice Address - City:AUBURN
Practice Address - State:MA
Practice Address - Zip Code:01501-2498
Practice Address - Country:US
Practice Address - Phone:508-721-1172
Practice Address - Fax:508-832-0859
Is Sole Proprietor?:No
Enumeration Date:2006-02-16
Last Update Date:2020-09-08
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
MA50706207R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
27113OtherCHILDRENS MEDICAL SECURIT
784175OtherMVP HEALTH CARE
9900153OtherFALLON COMMUNITY HEALTH P
J02589OtherBLUE CARE ELECT
J02589OtherBLUE SHIELD HMO BLUE
7387317OtherAETNA US HEALTHCARE
0401693OtherEVERCARE
MA3087689Medicaid
AA1242OtherHARVARD PILGRIM HEALTHCAR
J02589OtherMEDICARE B
2411249OtherCIGNA HEALTH PLAN
27113OtherHEALTHY START
J02589OtherBLUE SHIELD INDEMNITY
042472266OtherHEALTHCARE VALUE MANAGEME
918144OtherFIRST HEALTH
042472266OtherONE HEALTH PLAN
042472266OtherPRIVATE HEALTHCARE SYSTEM
3087689OtherMEDICAID WELFARE
J02589OtherBLUE CARE ELECT
J02589OtherBLUE SHIELD HMO BLUE