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NPI Code Detail

MEDICARE: MAYRA CLASS

MEDICARE: MAYRA CLASS
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
1207Q00000XFamily Medicine PhysicianRN2353191MA

General Provider Information

NPI Number : 1467303339
Entity Type Code : Individual
Provider Name (Legal Business Name) : MAYRA CLASS
Provider Business Mailing Address
First Line : 34 HAVERHILL ST
Second Line :
City : LAWRENCE
State : MA
Zip : 01841-2884
Country : US
Telephone Number : 978-686-0090
Fax Number :
Provider Business Practice Location Address
First Line : 34 HAVERHILL ST
Second Line :
City : LAWRENCE
State : MA
Zip : 01841-2884
Country : US
Telephone Number : 978-686-0090
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 02/06/2026
Last Update Date : 04/22/2026

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1093717977 — DR. SHARDUL S PATEL PHARM.D., R.PH.
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1659366169 — KEITH E NOKES MD
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1932194032 — MR. VINCENT M WAITE MD
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Directions to “ MAYRA CLASS ” Practice Location

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These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

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