Healthcare Provider Details

I. General information

NPI: 1144544040
Provider Name (Legal Business Name): COMMUNITY MEDICAL ASSOCIATES, INC.
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 03/22/2010
Last Update Date: 08/29/2025
Certification Date: 08/29/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

25 MARSTON ST STE 301
LAWRENCE MA
01841-2358
US

IV. Provider business mailing address

25 MARSTON ST STE 301
LAWRENCE MA
01841-2358
US

V. Phone/Fax

Practice location:
  • Phone: 978-683-4000
  • Fax: 978-946-8136
Mailing address:
  • Phone: 978-683-4000
  • Fax: 978-946-8136

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207Q00000X
TaxonomyFamily Medicine Physician
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code207QB0002X
TaxonomyObesity Medicine (Family Medicine) Physician
License Number
License Number State
# 3
Primary TaxonomyN
Taxonomy Code2084P0800X
TaxonomyPsychiatry Physician
License Number
License Number State
# 4
Primary TaxonomyN
Taxonomy Code208600000X
TaxonomySurgery Physician
License Number
License Number State

VIII. Authorized Official

Name: MR. JOHN WHITLOCK
Title or Position: CFO
Credential:
Phone: 978-683-4000