Provider Demographics
NPI:1336241306
Name:POSES, ROY MAURICE (MD)
Entity type:Individual
Prefix:
First Name:ROY
Middle Name:MAURICE
Last Name:POSES
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 1:2005 BAY ST
Mailing Address - Street 2:SUITE 206
Mailing Address - City:TAUNTON
Mailing Address - State:MA
Mailing Address - Zip Code:02780-1085
Mailing Address - Country:US
Mailing Address - Phone:508-822-2266
Mailing Address - Fax:508-823-5689
Practice Address - Street 1:2005 BAY ST
Practice Address - Street 2:SUITE 206
Practice Address - City:TAUNTON
Practice Address - State:MA
Practice Address - Zip Code:02780-1085
Practice Address - Country:US
Practice Address - Phone:508-822-2266
Practice Address - Fax:508-823-5689
Is Sole Proprietor?:No
Enumeration Date:2006-09-01
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MA221820207R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
MAJ28669OtherBCBS MA
MA2093910Medicaid
RI29440OtherBCBS RI
MAAA32915OtherHPHC
ME008759OtherTUFTS
ME008759OtherTUFTS
B06087Medicare UPIN