Basic Information
| Provider Information | |||||||||
| NPI: | 1700994720 | ||||||||
| EntityType: | 1 | ||||||||
| ReplacementNPI: | |||||||||
| OrganizationName: | |||||||||
| LastName: | PIGEON | ||||||||
| FirstName: | RONALD | ||||||||
| MiddleName: | P. | ||||||||
| NamePrefix: | |||||||||
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| Credential: | M.D. | ||||||||
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| Mailing Information | |||||||||
| Address1: | 2 HAYWARD ST | ||||||||
| Address2: | |||||||||
| City: | ATTLEBORO | ||||||||
| State: | MA | ||||||||
| PostalCode: | 027032113 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 5084313600 | ||||||||
| FaxNumber: | 5084312545 | ||||||||
| Practice Location | |||||||||
| Address1: | 2 HAYWARD ST | ||||||||
| Address2: | |||||||||
| City: | ATTLEBORO | ||||||||
| State: | MA | ||||||||
| PostalCode: | 027032113 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 5084313600 | ||||||||
| FaxNumber: | 5084312545 | ||||||||
| Other Information | |||||||||
| ProviderEnumerationDate: | 08/29/2006 | ||||||||
| LastUpdateDate: | 07/08/2007 | ||||||||
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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 | 207RC0000X | 213093 | MA | Y | Allopathic & Osteopathic Physicians | Internal Medicine | Cardiovascular Disease |
ID Information
| ID | Type | State | Issuer | Description | 2101483 | 05 | MA | MEDICAID | 412816 | 01 | RI BLUE CHIP | OTHER | 93300 | 01 | MA | FALLON | OTHER | 2926087 | 01 | MA | CIGNA | OTHER | 2485144 | 01 | UHC | OTHER | 414243 | 01 | MA | TUFTS | OTHER | AA33814 | 01 | MA | HPHC | OTHER | 000000030143 | 01 | MA | BMC HEALTHNET | OTHER | J27967 | 01 | MA | MABC | OTHER |