Provider Demographics
NPI:1861458606
Name:MIDDLETON JR., DONALD W (MD)
Entity Type:Individual
Prefix:
First Name:DONALD
Middle Name:W
Last Name:MIDDLETON JR.
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
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Other - Credentials:
Mailing Address - Street 1:874 PURCHASE ST
Mailing Address - Street 2:
Mailing Address - City:NEW BEDFORD
Mailing Address - State:MA
Mailing Address - Zip Code:02740-6232
Mailing Address - Country:US
Mailing Address - Phone:508-992-6553
Mailing Address - Fax:508-990-7558
Practice Address - Street 1:874 PURCHASE ST
Practice Address - Street 2:
Practice Address - City:NEW BEDFORD
Practice Address - State:MA
Practice Address - Zip Code:02740-6232
Practice Address - Country:US
Practice Address - Phone:508-992-6553
Practice Address - Fax:508-990-7558
Is Sole Proprietor?:No
Enumeration Date:2006-04-21
Last Update Date:2020-04-23
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
MA51156207P00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207P00000XAllopathic & Osteopathic PhysiciansEmergency Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
MA051156OtherTUFTS HEALTH PLAN
MA2992459OtherAETNA
MA3900062OtherUNITED HEALTH
MA110228065OtherRAILROAD MEDICARE
MD27755OtherCHILDREN'S MEDICAL SEC
MAB21133701OtherCIGNA
RI20770-6OtherBCBSRI
MA000000024029OtherBOSTON MEDICAL
RI409720OtherBLUECHIP BCBSRI
MA0011930OtherNEIGHBORHOOD HEALTH PLAN
MA436736OtherHARVARD PILGRIM
MA2090651Medicaid
MA98014802OtherNETWORK HEALTH
MD005078OtherSENIOR WHOLE HEALTH
MA2317775-001OtherCIGNA PAL
MAJ02277OtherBCBSMA
MA0011930OtherNEIGHBORHOOD HEALTH PLAN
MAJ02277Medicare ID - Type Unspecified