Provider Demographics
NPI:1720081466
Name:ALLMAN, TRICIA (MD)
Entity Type:Individual
Prefix:
First Name:TRICIA
Middle Name:
Last Name:ALLMAN
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 1:9 BRANCH ST
Mailing Address - Street 2:
Mailing Address - City:METHUEN
Mailing Address - State:MA
Mailing Address - Zip Code:01844-1955
Mailing Address - Country:US
Mailing Address - Phone:978-683-9177
Mailing Address - Fax:978-688-8679
Practice Address - Street 1:9 BRANCH ST
Practice Address - Street 2:
Practice Address - City:METHUEN
Practice Address - State:MA
Practice Address - Zip Code:01844-1955
Practice Address - Country:US
Practice Address - Phone:978-683-9177
Practice Address - Fax:978-688-8679
Is Sole Proprietor?:No
Enumeration Date:2005-05-26
Last Update Date:2007-07-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MA54758207R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
MA3025918Medicaid
MA9779086Medicaid
MA69815OtherHARVARD PILGRIM
MA916040OtherFIRST HEALTH
MA0402979OtherUNITED HEALTHCARE
MAJ08887OtherBC/BS OF MA
MAJ08887OtherBC/BS OF MA
MA0402979OtherUNITED HEALTHCARE