Provider Demographics
NPI:1477503647
Name:PLOTKIN, HORACIO B (MD)
Entity type:Individual
Prefix:
First Name:HORACIO
Middle Name:B
Last Name:PLOTKIN
Suffix:
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 1:500 KENDALL ST
Mailing Address - Street 2:GENZYME CORPORATION
Mailing Address - City:CAMBRIDGE
Mailing Address - State:MA
Mailing Address - Zip Code:02142-1108
Mailing Address - Country:US
Mailing Address - Phone:617-768-4345
Mailing Address - Fax:617-252-7694
Practice Address - Street 1:500 KENDALL ST
Practice Address - Street 2:GENZYME CORPORATION
Practice Address - City:CAMBRIDGE
Practice Address - State:MA
Practice Address - Zip Code:02142-1108
Practice Address - Country:US
Practice Address - Phone:617-768-4345
Practice Address - Fax:617-252-7694
Is Sole Proprietor?:Yes
Enumeration Date:2006-05-11
Last Update Date:2008-05-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NE22264207RE0101X, 2080P0205X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2080P0205XAllopathic & Osteopathic PhysiciansPediatricsPediatric Endocrinology
No207RE0101XAllopathic & Osteopathic PhysiciansInternal MedicineEndocrinology, Diabetes & Metabolism
Provider Identifiers
StateIdentifier IDID TypeIssuer
NE47078557565Medicaid
NEH70908Medicare UPIN
NE275966Medicare ID - Type Unspecified