Northeast Medical Pracitce in Danvers - Internal Medicine

Northeast Medical Pracitce - NPI 1710175369

Northeast Medical Pracitce is a Internal Medicine in Danvers, Massachusetts. Northeast Medical Pracitce practices all healthcare services and medical treatments related to Internal Medicine. The NPI Number for Northeast Medical Pracitce is 1710175369. The last update date is 2007-10-09.

Northeast Medical Pracitce's current location address is 140 Commonwealth Ave, Danvers, Massachusetts. You can contact this provider via phone number 9787500200 and fax number 9787500220. The mailing address for Northeast Medical Pracitce is 140 Commonwealth Ave, Danvers, Massachusetts. To know further, please read the information below!

Provider Profile Detail

Provider Organization Northeast Medical Pracitce
Address 140 Commonwealth Ave, Danvers, Massachusetts
Phone Number 9787500200
Fax Number 9787500220
Sole Proprietor --
Credentials --

Authorized Official

Title or Position VP OF NMP
Authorized Official Name Rodgers Johanna
Telephone Number 9782361710

NPI Number Detail

NPI Number 1710175369
Provider Enumeration Date 2007-10-09
Last Updated Date 2007-10-09

Provider Mailing Address Detail

Address 140 Commonwealth Ave
City Danvers
State Massachusetts (MA)
Post Code 19233629
Phone Number 9787500200
Fax Number 9787500220

Provider's Primary Taxonomy Detail

Speciality Internal Medicine
Taxonomy 207R00000X
Licence No 49203
Definition:
A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and di

Provider's Other Legacy Identifiers

Identifier Identifier Type Identifier State Identifier Issuer
M19184 MA BC

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FAQs about Northeast Medical Pracitce

What is the unique provider identifier assigned to Northeast Medical Pracitce?

The Northeast Medical Pracitce has been issued the NPI (National Provider Identifier) 1710175369 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code is a unique identification number for healthcare providers.

Could you provide the complete physical address where Northeast Medical Pracitce is located?

The Northeast Medical Pracitce is situated at the following address: 140 Commonwealth Ave, Danvers, MA, 19233629.

What is the Northeast Medical Pracitce's area of specialization and corresponding taxonomy classification?

The Northeast Medical Pracitce's specialty field is Internal Medicine, and it falls under the taxonomy code 207R00000X, which categorizes healthcare providers based on their specialties.

On what date did the Centers for Medicare & Medicaid Services issue the 1710175369 to Northeast Medical Pracitce?

The Northeast Medical Pracitce received its 1710175369 assignment from the Centers for Medicare & Medicaid Services on 2007-10-09.

When was the information related to Northeast Medical Pracitce most recently updated or refreshed?

The details pertaining to the Northeast Medical Pracitce, including its address, specialty, and other relevant information, were last updated or refreshed on 2007-10-09.

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