Provider Demographics
NPI:1174558449
Name:BUTLER, WILLIAM E (MD)
Entity type:Individual
Prefix:DR
First Name:WILLIAM
Middle Name:E
Last Name:BUTLER
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Gender:M
Credentials:MD
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Mailing Address - Street 1:PO BOX 9142
Mailing Address - Street 2:MASS GENERAL PHYSICIAN ORGANIZATION
Mailing Address - City:CHARLESTOWN
Mailing Address - State:MA
Mailing Address - Zip Code:02129-9142
Mailing Address - Country:US
Mailing Address - Phone:617-726-3801
Mailing Address - Fax:617-726-7546
Practice Address - Street 1:15 PARKMAN ST
Practice Address - Street 2:WANG 331
Practice Address - City:BOSTON
Practice Address - State:MA
Practice Address - Zip Code:02114-3117
Practice Address - Country:US
Practice Address - Phone:617-726-3801
Practice Address - Fax:617-726-7546
Is Sole Proprietor?:No
Enumeration Date:2006-07-12
Last Update Date:2014-05-01
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Provider Licenses
StateLicense IDTaxonomies
MA79736207T00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207T00000XAllopathic & Osteopathic PhysiciansNeurological Surgery
Provider Identifiers
StateIdentifier IDID TypeIssuer
MAJ30586OtherBCBS MA
MA3125611Medicaid
MA079736OtherTUFTS HEALTH PLAN
F81064Medicare UPIN
MA3125611Medicaid