Provider Demographics
NPI:1780685909
Name:GALVIN, WILLIAM J III (MD)
Entity Type:Individual
Prefix:DR
First Name:WILLIAM
Middle Name:J
Last Name:GALVIN
Suffix:III
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:20 RESEARCH PL STE 320
Mailing Address - Street 2:
Mailing Address - City:NORTH CHELMSFORD
Mailing Address - State:MA
Mailing Address - Zip Code:01863-2455
Mailing Address - Country:US
Mailing Address - Phone:978-256-1858
Mailing Address - Fax:978-788-7890
Practice Address - Street 1:20 RESEARCH PL
Practice Address - Street 2:SUITE 320
Practice Address - City:NORTH CHELMSFORD
Practice Address - State:MA
Practice Address - Zip Code:01863-2454
Practice Address - Country:US
Practice Address - Phone:978-788-7307
Practice Address - Fax:978-788-7890
Is Sole Proprietor?:No
Enumeration Date:2005-08-10
Last Update Date:2020-11-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MA78686174400000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes174400000XOther Service ProvidersSpecialist
Provider Identifiers
StateIdentifier IDID TypeIssuer
MA1780685909OtherCHAMPUS/TRICARE
MA1780685909OtherCIGNA
MA724674OtherTUFTS
MA980996OtherNETWORK
MAAA116928OtherHPHC
MA1780685909OtherHEALTHSOURCE
MA0003665OtherNEIGHBORHOOD HEALTH PLAN
MA1780685909OtherBMC HEALTH NET
MA2636910OtherAETNA/US HEALTHCARE
MA30859OtherHEALTHY START
MAJ14473OtherBCBS
MA1780685909OtherGREAT WEST
MA1780685909OtherHEALTH PLANS INC
MA21087OtherFALLON
MA3124096Medicaid
MA1780685909OtherHEALTH PARTNERS
MA1780685909OtherPREFERRED CARE OF NY
MA1780685909OtherPHCS
MA30859OtherHEALTHY START
MAF75230Medicare UPIN