Provider Demographics
NPI:1679603641
Name:WILLIAM H. TRUSWELL, M.D., INC.
Entity type:Organization
Organization Name:WILLIAM H. TRUSWELL, M.D., INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRACTICE MANAGER
Authorized Official - Prefix:
Authorized Official - First Name:LYNN
Authorized Official - Middle Name:
Authorized Official - Last Name:TRUSWELL
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:413-587-0600
Mailing Address - Street 1:61 LOCUST ST
Mailing Address - Street 2:SUITE 2
Mailing Address - City:NORTHAMPTON
Mailing Address - State:MA
Mailing Address - Zip Code:01060-2018
Mailing Address - Country:US
Mailing Address - Phone:413-587-0600
Mailing Address - Fax:413-585-5112
Practice Address - Street 1:61 LOCUST ST
Practice Address - Street 2:SUITE 2
Practice Address - City:NORTHAMPTON
Practice Address - State:MA
Practice Address - Zip Code:01060-2018
Practice Address - Country:US
Practice Address - Phone:413-587-0600
Practice Address - Fax:413-585-5112
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-03-07
Last Update Date:2008-04-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MA394452086S0122X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes2086S0122XAllopathic & Osteopathic PhysiciansSurgeryPlastic and Reconstructive SurgeryGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
MA2044293Medicaid
MA786654OtherAETNA
MA9780165Medicaid
MA17243OtherHEALTH NEW ENGLAND
MA19618OtherHARVARD
MA768732OtherTUFTS HEALTH PLAN
MAM16571OtherBLUE CROSS BLUE SHIELD
MA742311OtherCONNECTICARE
MA17243OtherHEALTH NEW ENGLAND
MA=========OtherGREAT WEST
MA=========OtherUNICARE
MA=========OtherCONSOLIDATED HEALTH PLAN
MA=========OtherNORTHEAST HEALTH DIRECT
MAM16571OtherBLUE CROSS BLUE SHIELD
MA=========OtherUNICARE
MA19618OtherHARVARD
MA786654OtherAETNA