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NPI Code Detail

MEDICARE: MERRIMACK VALLEY WOMEN'S HEALTH SERVICES

MEDICARE: MERRIMACK VALLEY WOMEN'S HEALTH SERVICES
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
1261QM2500XMedical Specialty Clinic/Center

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 : 1518175413
Entity Type Code : Organization
Provider Name (Legal Business Name) : MERRIMACK VALLEY WOMEN'S HEALTH SERVICES
Provider Business Mailing Address
First Line : 9 BRANCH ST
Second Line :
City : METHUEN
State : MA
Zip : 01844-1955
Country : US
Telephone Number : 978-688-7222
Fax Number :
Provider Business Practice Location Address
First Line : 9 BRANCH ST
Second Line :
City : METHUEN
State : MA
Zip : 01844-1955
Country : US
Telephone Number : 978-688-7222
Fax Number :
Authorized Official
Title or Position : PHYSICIAN
Name : DR. MARCUS TULIO GORDON
Credential : MD
Telephone Number : 978-688-7222
Provider Enumeration Date : 05/21/2007
Last Update Date : 08/22/2020

Similar Medicare Providers

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1487870150 — DR. CHRISTINE NTAPALIS-KAFASIS D.M.D.
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1609089325 — CHRISTINE NTAPALIS, D.M.D., P.C.
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METHUEN, MA
01844-1955
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1972964450 — CREST
Practice Location Address:
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Directions to “MERRIMACK VALLEY WOMEN'S HEALTH SERVICES ” Practice Location

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