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NPI Code Detail

MEDICARE: MERRIMACK VALLEY GASTROENTEROLOGY, PC

MEDICARE: MERRIMACK VALLEY GASTROENTEROLOGY, PC
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1207RG0100XGastroenterology Physician152953MA

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1033130919
Entity Type Code : Organization
Provider Name (Legal Business Name) : MERRIMACK VALLEY GASTROENTEROLOGY, PC
Provider Business Mailing Address
First Line : 200 SUTTON ST STE 140
Second Line :
City : NORTH ANDOVER
State : MA
Zip : 01845-1651
Country : US
Telephone Number : 978-521-3681
Fax Number : 978-521-3682
Provider Business Practice Location Address
First Line : 200 SUTTON ST STE 140
Second Line :
City : NORTH ANDOVER
State : MA
Zip : 01845-1651
Country : US
Telephone Number : 978-521-3681
Fax Number : 978-521-3682
Authorized Official
Title or Position : PRESIDENT
Name : DR. FRANCIS P MACMILLAN JR.
Credential : M.D.
Telephone Number : 978-521-3681
Provider Enumeration Date : 07/23/2006
Last Update Date : 04/26/2018

Similar Medicare Providers

1902006901 — JESSICA REED LMHC
Practice Location Address:
200 SUTTON ST STE 120
NORTH ANDOVER, MA
01845-1651
Practice Phone: 774-206-1125
Practice Fax:
1871616953 — MRS. BIBIANA P. LOPEZ LMHC
Practice Location Address:
200 SUTTON ST STE 242
NORTH ANDOVER, MA
01845-1651
Practice Phone: 978-566-9266
Practice Fax:
1699965285 — MRS. LEOMARY VASQUEZ M.ED
Practice Location Address:
200 SUTTON ST STE 120
NORTH ANDOVER, MA
01845-1651
Practice Phone: 774-206-1125
Practice Fax:
1326361742 — JOSELINE IVETTE GONZALEZ
Practice Location Address:
200 SUTTON ST STE 242
NORTH ANDOVER, MA
01845-1651
Practice Phone: 978-566-9266
Practice Fax:
1851610075 — NIDHI TURNER MSW, LICSW
Practice Location Address:
200 SUTTON ST STE 120
NORTH ANDOVER, MA
01845-1651
Practice Phone: 774-206-1125
Practice Fax:
1447507926 — MISS ELIZABETH MARY SUCHY LMHC, MT-BC, HPMT
Practice Location Address:
200 SUTTON ST STE 120
NORTH ANDOVER, MA
01845-1651
Practice Phone: 978-945-1363
Practice Fax:

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