Provider Demographics
NPI:1669412888
Name:MEYEROVITZ, MICHAEL F (MD)
Entity type:Individual
Prefix:MR
First Name:MICHAEL
Middle Name:F
Last Name:MEYEROVITZ
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
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Other - Credentials:
Mailing Address - Street 1:14 RICE RD
Mailing Address - Street 2:
Mailing Address - City:TEMPLETON
Mailing Address - State:MA
Mailing Address - Zip Code:01468-1332
Mailing Address - Country:US
Mailing Address - Phone:978-939-2035
Mailing Address - Fax:978-939-2039
Practice Address - Street 1:14 RICE RD
Practice Address - Street 2:
Practice Address - City:TEMPLETON
Practice Address - State:MA
Practice Address - Zip Code:01468-1332
Practice Address - Country:US
Practice Address - Phone:978-939-2035
Practice Address - Fax:978-939-2039
Is Sole Proprietor?:No
Enumeration Date:2006-06-07
Last Update Date:2016-07-31
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
MA492802085R0202X, 2085R0204X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2085R0202XAllopathic & Osteopathic PhysiciansRadiologyDiagnostic Radiology
No2085R0204XAllopathic & Osteopathic PhysiciansRadiologyVascular & Interventional Radiology
Provider Identifiers
StateIdentifier IDID TypeIssuer
MA0007041OtherNEIGHBORHOOD HEALTH PLANS
MA244863OtherHARVARD PILGRIM HEALTH PL
MA300121242OtherRAILROAD MEDICARE
MAJ03575OtherBLUE CROSS BLUE SHIELD
MA042477296OtherPRIVATE HEALTH CARE SYSTE
MA049280OtherTUFTS HEALTH PLAN
MA6192459OtherHEALTHY START
MA61930OtherFALLON COMMUNITY HEALTH P
MA988401OtherNETWORK HEALTH
MA042477296OtherHEALTH CARE VALUE MANAGEM
MA6192459Medicaid
MA72318OtherCIGNA
MA042477296OtherUNITED HEALTH CARE
MA300121242OtherRAILROAD MEDICARE
MA72318OtherCIGNA