Provider Demographics
NPI:1295739936
Name:LEE, SHERWOOD B (MD)
Entity type:Individual
Prefix:
First Name:SHERWOOD
Middle Name:B
Last Name:LEE
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
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Mailing Address - Street 1:1 PARKWAY
Mailing Address - Street 2:
Mailing Address - City:HAVERHILL
Mailing Address - State:MA
Mailing Address - Zip Code:01830-6278
Mailing Address - Country:US
Mailing Address - Phone:978-521-3230
Mailing Address - Fax:978-521-3256
Practice Address - Street 1:1 PARKWAY
Practice Address - Street 2:
Practice Address - City:HAVERHILL
Practice Address - State:MA
Practice Address - Zip Code:01830-6278
Practice Address - Country:US
Practice Address - Phone:978-521-3230
Practice Address - Fax:978-521-3256
Is Sole Proprietor?:No
Enumeration Date:2005-06-10
Last Update Date:2012-11-21
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
MA36375208000000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208000000XAllopathic & Osteopathic PhysiciansPediatrics
Provider Identifiers
StateIdentifier IDID TypeIssuer
NH99903211OtherNEW HAMPSHIRE MEDICAID
MA036375OtherTUFTS HEALTH PLAN
MA1295739936OtherAETNA HMO
8714504OtherCIGNA
NHE03053OtherANTHEM BLUE CROSS
MA1295739936OtherFALLON COMMUNITY HEALTH PLAN
MA4213361OtherAETNA NON HMO
0016283OtherNEIGHBORHOOD HEALTH PLAN
MA200192OtherHARVARD PILGRIM HEALTHCAR
MAD11105OtherBLUE CROSS BLUE SHIELD
MA110034319AMedicaid
678814OtherHEALTHSOURCE
977253OtherNETWORK HEALTH
NHE03053OtherANTHEM BLUE CROSS
MAD11105OtherBLUE CROSS BLUE SHIELD