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NPI Code Detail

MEDICARE: RONALD VERLE NORRIS MD

MEDICARE: RONALD VERLE NORRIS MD
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
12084P0800XPsychiatry Physician31180MA

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1M18604OTHERMABCBS
2485326OTHERMATRICARE

General Provider Information

NPI Number : 1679796882
Entity Type Code : Individual
Provider Name (Legal Business Name) : RONALD VERLE NORRIS MD
Provider Business Mailing Address
First Line : PO BOX 340
Second Line :
City : ANDOVER
State : MA
Zip : 01810-0340
Country : US
Telephone Number : 508-454-5379
Fax Number :
Provider Business Practice Location Address
First Line : 451 ANDOVER STREET
Second Line : #301
City : NORTH ANDOVER
State : MA
Zip : 01845-5036
Country : US
Telephone Number : 508-454-5379
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 04/10/2007
Last Update Date : 04/30/2019

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Directions to “ RONALD VERLE NORRIS MD” Practice Location

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