Provider Demographics
NPI:1629073424
Name:TANGUAY, WILLIAM ALBERT (MD)
Entity Type:Individual
Prefix:
First Name:WILLIAM
Middle Name:ALBERT
Last Name:TANGUAY
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
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Mailing Address - Street 1:1 PARKWAY
Mailing Address - Street 2:
Mailing Address - City:HAVERHILL
Mailing Address - State:MA
Mailing Address - Zip Code:01830-6278
Mailing Address - Country:US
Mailing Address - Phone:978-521-3270
Mailing Address - Fax:978-374-8479
Practice Address - Street 1:1 PARKWAY
Practice Address - Street 2:
Practice Address - City:HAVERHILL
Practice Address - State:MA
Practice Address - Zip Code:01830-6278
Practice Address - Country:US
Practice Address - Phone:978-521-3270
Practice Address - Fax:978-374-8479
Is Sole Proprietor?:No
Enumeration Date:2005-06-17
Last Update Date:2012-11-21
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
MA36854207R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
0016288OtherNEIGHBORHOOD HEALTH PLAN
2001893OtherCIGNA
974553OtherNETWORK HEALTH
110214688OtherRAILROAD MEDICARE
MA1629073424OtherFALLON COMMUNITY HEALTH PLAN
MA5789143OtherAETNA NON HMO
NH30200165OtherNEW HAMPSHIRE MEDICAID
67884OtherHEALTHSOURCE
MAJ03184OtherBLUE CROSS BLUE SHIELD
MA110035980AMedicaid
MA62756OtherHARVARD PILGRIM HEALTHCAR
MA734732OtherTUFTS HEALTH PLAN
MA1629073424OtherAETNA HMO
04-07069OtherEVERCARE
NHB74396OtherANTHEM BLUE CROSS
04-07069OtherEVERCARE
MA734732OtherTUFTS HEALTH PLAN