Provider Demographics
NPI:1023082757
Name:BESSETTE, LAURA J (MD)
Entity type:Individual
Prefix:
First Name:LAURA
Middle Name:J
Last Name:BESSETTE
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
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Other - Last Name:
Other - Suffix:
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Other - Credentials:
Mailing Address - Street 1:630 PLANTATION ST
Mailing Address - Street 2:
Mailing Address - City:WORCESTER
Mailing Address - State:MA
Mailing Address - Zip Code:01605
Mailing Address - Country:US
Mailing Address - Phone:508-595-2300
Mailing Address - Fax:508-853-5226
Practice Address - Street 1:630 PLANTATION ST
Practice Address - Street 2:
Practice Address - City:WORCESTER
Practice Address - State:MA
Practice Address - Zip Code:01605
Practice Address - Country:US
Practice Address - Phone:508-595-2300
Practice Address - Fax:508-853-5226
Is Sole Proprietor?:No
Enumeration Date:2006-02-17
Last Update Date:2009-01-27
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
MA78564207R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
26750OtherCHILDRENS MEDICAL SECURIT
991108OtherFALLON COMMUNITY HEALTH P
042472266OtherPRIVATE HEALTHCARE SYSTEM
26750OtherHEALTHY START
784116OtherMVP HEALTH CARE
1059578OtherFIRST HEALTH
AA1191OtherHARVARD PILGRIM HEALTHCAR
042472266OtherHEALTHCARE VALUE MANAGEME
3509969OtherCIGNA HEALTH PLAN
7436307OtherAETNA US HEALTHCARE
3128857OtherMEDICAID WELFARE
042472266OtherONE HEALTH PLAN
J14545OtherBLUE CARE ELECT
0401151OtherEVERCARE
MA3128857Medicaid
J14545OtherBLUE SHIELD HMO BLUE
J14545OtherBLUE SHIELD INDEMNITY
MAJ14545Medicare ID - Type Unspecified
J14545OtherBLUE SHIELD INDEMNITY
042472266OtherONE HEALTH PLAN