Provider Demographics
NPI:1679663199
Name:VOLNEY, RAQUEL FR (MD)
Entity Type:Individual
Prefix:
First Name:RAQUEL
Middle Name:FR
Last Name:VOLNEY
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Other - Credentials:
Mailing Address - Street 1:511 W GROVE ST
Mailing Address - Street 2:SUITE 104
Mailing Address - City:MIDDLEBORO
Mailing Address - State:MA
Mailing Address - Zip Code:02346-1458
Mailing Address - Country:US
Mailing Address - Phone:508-923-1913
Mailing Address - Fax:508-923-1916
Practice Address - Street 1:511 W GROVE ST
Practice Address - Street 2:SUITE 104
Practice Address - City:MIDDLEBORO
Practice Address - State:MA
Practice Address - Zip Code:02346-1458
Practice Address - Country:US
Practice Address - Phone:508-923-1913
Practice Address - Fax:508-923-1916
Is Sole Proprietor?:No
Enumeration Date:2006-10-13
Last Update Date:2012-05-22
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
MA231461207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
MA000000041300OtherBMC HEALTHNET PLAN
MA496382OtherTUFTS HEALTH PLAN
MAJ41905OtherBCBSMA
MA7037913OtherAETNA
MA2136228Medicaid
MAAA92325OtherHARVARD PILGRIM HELATHCAR
MA000134101Medicare PIN
MA000000041300OtherBMC HEALTHNET PLAN