Pentucket Medical Associates, Llc in Haverhill - Adolescent Medicine
Pentucket Medical Associates, Llc - NPI 1609872886
Pentucket Medical Associates, Llc is a Adolescent Medicine in Haverhill, Massachusetts. Pentucket Medical Associates, Llc practices all healthcare services and medical treatments related to Adolescent Medicine. The NPI Number for Pentucket Medical Associates, Llc is 1609872886. The last update date is 2011-06-15.
Pentucket Medical Associates, Llc's current location address is One Parkway, Haverhill, Massachusetts. You can contact this provider via phone number 9785213200 and fax number 9783749792. The mailing address for Pentucket Medical Associates, Llc is One Parkway, Haverhill, Massachusetts. To know further, please read the information below!
Provider Profile Detail
| Provider Organization | Pentucket Medical Associates, Llc |
|---|---|
| Address | One Parkway, Haverhill, Massachusetts |
| Phone Number | 9785213200 |
| Fax Number | 9783749792 |
| Sole Proprietor | -- |
| Credentials | -- |
Authorized Official
| Title or Position | MANAGING P |
|---|---|
| Authorized Official Name | Fazio Louis Thomas |
| Credentials | M.D. |
| Telephone Number | 9785578920 |
NPI Number Detail
| NPI Number | 1609872886 |
|---|---|
| Provider Enumeration Date | 2005-06-22 |
| Last Updated Date | 2011-06-15 |
Provider Mailing Address Detail
| Address | One Parkway |
|---|---|
| City | Haverhill |
| State | Massachusetts (MA) |
| Post Code | 18300 |
| Phone Number | 9785213200 |
| Fax Number | 9783749792 |
Provider's Primary Taxonomy Detail
| Speciality | Adolescent Medicine |
|---|---|
| Taxonomy | 2080A0000X |
|
Definition: A pediatrician who specializes in adolescent medicine is a multi-disciplinary healthcare specialist trained in the unique physical, psychological and social characteristics of adolescents, their healthcare problems and needs. |
|
Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 18028 | MA | NEIGHBORHOOD HEALTH PLAN | |
| 681017 | MA | TUFTS | |
| 9786376 | MA | -- | |
| 5313652 | AETNA | ||
| M17320 | MA | BCBS | |
| 30210443 | NH | NH MEDICAID |
Post Comment/ Review Below
What is the unique identifier code issued to Pentucket Medical Associates, Llc by the Centers for Medicare & Medicaid Services?
The Pentucket Medical Associates, Llc has been assigned the NPI (National Provider Identifier) 1609872886. This 10-digit code serves as a unique identification number for healthcare providers issued by the Centers for Medicare & Medicaid Services (CMS).
Could you share the physical location details of Pentucket Medical Associates, Llc?
The Pentucket Medical Associates, Llc is situated at One Parkway, in the city of Haverhill, state of MA, with the zip code 18300.
What is Pentucket Medical Associates, Llc's area of expertise and its corresponding taxonomy classification?
The Pentucket Medical Associates, Llc's field of specialization is Adolescent Medicine, and it falls under the taxonomy code 2080A0000X, which categorizes healthcare providers based on their areas of practice.
When did Pentucket Medical Associates, Llc receive its 1609872886 assignment?
The Pentucket Medical Associates, Llc was assigned its 1609872886 on 2005-06-22, which is the date when this unique identifier was issued to the organization.
When was the information related to Pentucket Medical Associates, Llc most recently updated or refreshed?
The details pertaining to the Pentucket Medical Associates, Llc, including its address, specialty, and other relevant information, were last updated or refreshed on 2011-06-15.