Provider Demographics
NPI:1063423010
Name:LARRABEE, DAVID M (MD)
Entity type:Individual
Prefix:MR
First Name:DAVID
Middle Name:M
Last Name:LARRABEE
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
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Other - Credentials:
Mailing Address - Street 1:102 SHORE DR
Mailing Address - Street 2:STE 303
Mailing Address - City:WORCESTER
Mailing Address - State:MA
Mailing Address - Zip Code:01605-3154
Mailing Address - Country:US
Mailing Address - Phone:508-856-0458
Mailing Address - Fax:508-852-5089
Practice Address - Street 1:102 SHORE DR
Practice Address - Street 2:STE 303
Practice Address - City:WORCESTER
Practice Address - State:MA
Practice Address - Zip Code:01605-3154
Practice Address - Country:US
Practice Address - Phone:508-856-0458
Practice Address - Fax:508-852-5089
Is Sole Proprietor?:No
Enumeration Date:2006-08-11
Last Update Date:2023-03-07
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
MA212172207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
102740OtherUNITED HEALTH
2658283OtherAETNA BLUE BELL
P00045043OtherMEDICARE RAILROAD
042103577OtherHMH TAX ID#
711538OtherHARVARD PILGRIM
977754OtherNETWORK HEALTH
4489401004OtherCIGNA AVON
212172OtherTUFTS HEALTH
1211013OtherMASS HEALTH
A32985OtherMEDICARE PIN #
220019OtherMEDICARE B
4217582OtherCIGNA SCRANTON
52877OtherFALLON HEALTH CARE
J24197OtherBCBS QUINCY
212172OtherLIC#
24128OtherFALLON HEALTH CARE
24128OtherFALLON HEALTH CARE
J24197OtherBCBS QUINCY
A32985OtherMEDICARE PIN #