Basic Information
| Provider Information | |||||||||
| NPI: | 1568422608 | ||||||||
| EntityType: | 1 | ||||||||
| ReplacementNPI: | |||||||||
| OrganizationName: | |||||||||
| LastName: | ALPERN | ||||||||
| FirstName: | DAVID | ||||||||
| MiddleName: | B | ||||||||
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| Credential: | MD | ||||||||
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| Mailing Information | |||||||||
| Address1: | 90 CONZ STREET | ||||||||
| Address2: | 101 | ||||||||
| City: | NORTHAMPTON | ||||||||
| State: | MA | ||||||||
| PostalCode: | 01060 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 4135821847 | ||||||||
| FaxNumber: | 4135863379 | ||||||||
| Practice Location | |||||||||
| Address1: | 90 CONZ STREET | ||||||||
| Address2: | 101 | ||||||||
| City: | NORTHAMPTON | ||||||||
| State: | MA | ||||||||
| PostalCode: | 01060 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 4135821847 | ||||||||
| FaxNumber: | 4135863379 | ||||||||
| Other Information | |||||||||
| ProviderEnumerationDate: | 03/24/2006 | ||||||||
| LastUpdateDate: | 09/02/2010 | ||||||||
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| ProviderGenderCode: | M | ||||||||
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| IsSoleProprietor: | N | ||||||||
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Taxonomy Information
| Taxonomy | License | State | Switch | TaxonomyGroup | TaxonomyType | TaxonomyClass | SubSpecialty | 207R00000X | 54707 | MA | Y | Allopathic & Osteopathic Physicians | Internal Medicine |
ID Information
| ID | Type | State | Issuer | Description | 000000007739 | 01 | MA | BMC | OTHER | 04-3194547 | 01 | MD | CONSOLIDATED | OTHER | 04-3194547 | 01 | MA | NORTH AMERICAN PREFERRED | OTHER | 2358323 | 01 | MA | US HEALTHCARE | OTHER | J04840 | 01 | MA | BCBSMA | OTHER | 110148115 | 01 | MA | MEDICARE RAILROAD | OTHER | 2358323 | 01 | MA | AETNA | OTHER | 3086186 | 05 | MA | MEDICAID | 04-3194547 | 01 | MA | PLAN VISTA | OTHER | 054707 | 01 | MA | TUFTS | OTHER | 102436 | 01 | MA | CIGNA | OTHER | 62511 | 01 | MA | HARVARD PILGRIM | OTHER | 102436 | 01 | MA | PRUCARE | OTHER | 875541 | 01 | MA | CONNECTICARE | OTHER | 04-3194547 | 01 | MA | GREAT-WEST | OTHER | 04-3194547 | 01 | MA | NORTHEAST HEALTH DIRECT | OTHER | 04-3194547 | 01 | MA | PHCS | OTHER | 10147 | 01 | MA | HEALTH NEW ENGLAND | OTHER |