Provider Demographics
NPI:1154376143
Name:BADER, DAVID A (MD)
Entity type:Individual
Prefix:DR
First Name:DAVID
Middle Name:A
Last Name:BADER
Suffix:
Gender:M
Credentials:MD
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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 1:123 SUMMER ST
Practice Address - Street 2:
Practice Address - City:WORCESTER
Practice Address - State:MA
Practice Address - Zip Code:01608-1216
Practice Address - Country:US
Practice Address - Phone:978-939-2035
Practice Address - Fax:978-939-2039
Is Sole Proprietor?:No
Enumeration Date:2006-05-24
Last Update Date:2016-07-31
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Provider Licenses
StateLicense IDTaxonomies
MA788602085R0202X, 207U00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2085R0202XAllopathic & Osteopathic PhysiciansRadiologyDiagnostic Radiology
No207U00000XAllopathic & Osteopathic PhysiciansNuclear Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
MA042477296OtherUNITED HEALTH CARE
MA72313OtherCIGNA HEALTHPLAN
MA903988OtherHARVARD PILGRIM HEALTH CA
MA3141594OtherHEALTHY START
MA3141594Medicaid
MA78860OtherTUFTS HEALTH PLAN
MA2275963OtherAETNA
MA0007041OtherNEIGHBORHOOD HEALTH PLAN
MA40008OtherHEALTH NEW ENGLAND
MA7999OtherFALLON COMMUNITY HEALTH P
MAJ16215OtherBLUE CROSS BLUE SHIELD
MA300070581OtherRAILROAD MEDICARE
MAJ16215OtherBLUE CROSS BLUE SHIELD
MA3141594OtherHEALTHY START