Provider Demographics
NPI:1386676872
Name:ORQUIOLA, ALBERT S (MD)
Entity type:Individual
Prefix:
First Name:ALBERT
Middle Name:S
Last Name:ORQUIOLA
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
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Other - Last Name:
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Other - Credentials:
Mailing Address - Street 1:40 WRIGHT STREET
Mailing Address - Street 2:
Mailing Address - City:PALMER
Mailing Address - State:MA
Mailing Address - Zip Code:01069-1138
Mailing Address - Country:US
Mailing Address - Phone:413-283-7651
Mailing Address - Fax:413-284-5117
Practice Address - Street 1:40 WRIGHT STREET
Practice Address - Street 2:
Practice Address - City:PALMER
Practice Address - State:MA
Practice Address - Zip Code:01069-1138
Practice Address - Country:US
Practice Address - Phone:413-284-5276
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2006-07-07
Last Update Date:2010-02-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MA37620207L00000X, 208D00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207L00000XAllopathic & Osteopathic PhysiciansAnesthesiology
No208D00000XAllopathic & Osteopathic PhysiciansGeneral Practice
Provider Identifiers
StateIdentifier IDID TypeIssuer
050043608OtherRAILROAD MEDICARE
MA2034816Medicaid
102055OtherCIGNA
H12010OtherBLUE CROSS BLUE SHIELD
4390337OtherHEALTHSOURCE CMHC
52418OtherFALLON COMM HEALTH PLAN
70992OtherHARVARD PILGRIM
037620OtherTUFTS COMM HEALTH PLAN
999889OtherNETWORK HEALTH
2003058OtherUNITED HEALTH CARE
70992OtherHARVARD PILGRIM
B97651Medicare UPIN