Provider Demographics
NPI:1841385317
Name:FLORIAN, AGUSTIN M (MD)
Entity Type:Individual
Prefix:
First Name:AGUSTIN
Middle Name:M
Last Name:FLORIAN
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
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Mailing Address - Street 1:100 MORSE ST
Mailing Address - Street 2:
Mailing Address - City:NORWOOD
Mailing Address - State:MA
Mailing Address - Zip Code:02062-4679
Mailing Address - Country:US
Mailing Address - Phone:781-352-3153
Mailing Address - Fax:781-352-3154
Practice Address - Street 1:100 MORSE ST
Practice Address - Street 2:
Practice Address - City:NORWOOD
Practice Address - State:MA
Practice Address - Zip Code:02062-4679
Practice Address - Country:US
Practice Address - Phone:781-352-3153
Practice Address - Fax:781-352-3154
Is Sole Proprietor?:No
Enumeration Date:2006-10-03
Last Update Date:2015-10-06
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
MA36437208G00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208G00000XAllopathic & Osteopathic PhysiciansThoracic Surgery (Cardiothoracic Vascular Surgery)
Provider Identifiers
StateIdentifier IDID TypeIssuer
MA18-02000OtherUNITED HEALTH CARE
441333831OtherRR MEDICARE
MA700405OtherTUFTS HEALTH PLAN
MA0013607OtherNEIGHBERHOOD HEALTH PLAN
MA0110078Medicaid
MA26001OtherHARVARD PILGRIM HEALTH CA
MA0024458OtherAETNA HEALTH PLAN
MAC18088OtherBC/BS
MA18-02000OtherUNITED HEALTH CARE
MA0024458OtherAETNA HEALTH PLAN