Provider Demographics
NPI:1972614188
Name:JOSHI, VINEETA (MD,)
Entity Type:Individual
Prefix:DR
First Name:VINEETA
Middle Name:
Last Name:JOSHI
Suffix:
Gender:F
Credentials:MD,
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:525 BOSTON POST RD E
Mailing Address - Street 2:
Mailing Address - City:MARLBOROUGH
Mailing Address - State:MA
Mailing Address - Zip Code:01752-3631
Mailing Address - Country:US
Mailing Address - Phone:617-928-8200
Mailing Address - Fax:508-213-3028
Practice Address - Street 1:131 OLD ROAD TO 9 ACRE COR
Practice Address - Street 2:SUITE 810 JOHN CUMING BUILDING
Practice Address - City:CONCORD
Practice Address - State:MA
Practice Address - Zip Code:01742-4181
Practice Address - Country:US
Practice Address - Phone:978-318-0007
Practice Address - Fax:978-318-0056
Is Sole Proprietor?:No
Enumeration Date:2006-08-31
Last Update Date:2022-07-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MA154169207R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
MA91080OtherFALLON GROUP NUMBER
MA1012166OtherAETNA PROVIDER NUMBER
MA3168794Medicaid
MA17782053OtherTRICARE
MAM18857OtherBCBS GROUP NUMBER
MA693861OtherTUFTS GROUP #
MA137610OtherTUFTS PROVIDER#
MA2115197OtherUNITED HEALTH CARE
MA3680770OtherAETNA GROUP NUMBER
MA6405OtherFALLON PROVIDER NUMBER
MA9734601Medicaid
MA400094OtherHPHC
MA2033845OtherFIRST HEALTH
MAJ18209OtherBCBS PROVIDER NUMBER
MA3168794Medicaid
MA17782053OtherTRICARE
MA2115197OtherUNITED HEALTH CARE