Provider Demographics
NPI:1588727697
Name:EHRLICH, ALAN M (MD)
Entity type:Individual
Prefix:
First Name:ALAN
Middle Name:M
Last Name:EHRLICH
Suffix:
Gender:M
Credentials:MD
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Mailing Address - Street 1:5 NEPONSET ST FL STREET2
Mailing Address - Street 2:
Mailing Address - City:WORCESTER
Mailing Address - State:MA
Mailing Address - Zip Code:01606-2714
Mailing Address - Country:US
Mailing Address - Phone:508-595-2700
Mailing Address - Fax:774-221-5136
Practice Address - Street 1:366 SHREWSBURY ST
Practice Address - Street 2:
Practice Address - City:WORCESTER
Practice Address - State:MA
Practice Address - Zip Code:01604-4647
Practice Address - Country:US
Practice Address - Phone:508-595-2700
Practice Address - Fax:774-221-5136
Is Sole Proprietor?:No
Enumeration Date:2006-12-19
Last Update Date:2019-01-22
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Provider Licenses
StateLicense IDTaxonomies
MA55510207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
784129OtherMVP HEALTH CARE
26796OtherHEALTHY START
AA1289OtherHARVARD PILGRIM HEALTHCAR
38713OtherHEALTH NEW ENGLAND
7042341OtherAETNA US HEALTHCARE
042472266OtherFIRST HEALTH
042472266OtherONE HEALTH PLAN
042472266OtherTHREE RIVERS
J10470OtherBLUE CROSS
042472266OtherHEALTHCARE VALUE MGMT
080129537OtherRAILROAD MEDICARE
MA3075648Medicaid
991072OtherFALLON COMMUNITY HEALTH
26796OtherCMSP
4374412OtherCIGNA HEALTH PLAN
J10470OtherMEDICARE B
0100251OtherEVERCARE
3075648OtherMEDICAID WELFARE
3075648OtherMEDICAID WELFARE
MAJ10470Medicare ID - Type Unspecified