Healthcare Provider Details

I. General information

NPI: 1497742985
Provider Name (Legal Business Name): JEFFREY A NORTON M.D.
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 09/30/2005
Last Update Date: 03/06/2017
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

354 MERRIMACK ST
LAWRENCE MA
01843-1754
US

IV. Provider business mailing address

354 MERRIMACK ST
LAWRENCE MA
01843-1754
US

V. Phone/Fax

Practice location:
  • Phone: 978-687-2321
  • Fax: 978-722-7287
Mailing address:
  • Phone: 978-687-2321
  • Fax: 978-722-7287

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207LP2900X
TaxonomyPain Medicine (Anesthesiology) Physician
License Number152686
License Number StateMA
# 2
Primary TaxonomyN
Taxonomy Code207LP2900X
TaxonomyPain Medicine (Anesthesiology) Physician
License Number10913
License Number StateNH

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: