Provider Demographics
NPI:1386603751
Name:SAMITT, CRAIG E (MD)
Entity type:Individual
Prefix:
First Name:CRAIG
Middle Name:E
Last Name:SAMITT
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
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Mailing Address - Street 1:630 PLANTATION STREET
Mailing Address - Street 2:WOT 12TH FLOOR ATTN PHYSICIAN SERVICES
Mailing Address - City:WORCESTER
Mailing Address - State:MA
Mailing Address - Zip Code:01605
Mailing Address - Country:US
Mailing Address - Phone:508-368-5529
Mailing Address - Fax:508-368-5530
Practice Address - Street 1:630 PLANTATION STREET
Practice Address - Street 2:
Practice Address - City:WORCESTER
Practice Address - State:MA
Practice Address - Zip Code:01605
Practice Address - Country:US
Practice Address - Phone:508-595-2505
Practice Address - Fax:508-854-0650
Is Sole Proprietor?:Not Answered
Enumeration Date:2006-03-22
Last Update Date:2007-07-08
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
MA76042207R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
1169447OtherFIRST HEALTH
784081OtherMVP HEALTH CARE
39804OtherHEALTHY START
0403789OtherEVERCARE
3190676OtherWELFARE
MA3190676Medicaid
3629197OtherCIGNA HEALTH PLAN
AA9893OtherHARVARD PILGRIM HEALTHCAR
042472266008OtherTRICARE CHAMPUS
7630349OtherAETNA US HEALTHCARE
57049OtherFALLON COMMUNITY HEALTH P
076042OtherTUFTS H
J31315OtherBLUE CARE ELECT
1169447OtherFIRST HEALTH
7630349OtherAETNA US HEALTHCARE
MAA20133Medicare ID - Type Unspecified