Healthcare Provider Details

I. General information

NPI: 1346714912
Provider Name (Legal Business Name): MEEL PEDIATRICS
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 01/17/2019
Last Update Date: 01/17/2019
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

59 LAWRENCE ST
METHUEN MA
01844-4447
US

IV. Provider business mailing address

40 TOWER RD
LEXINGTON MA
02421-5931
US

V. Phone/Fax

Practice location:
  • Phone: 978-685-0977
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code208000000X
TaxonomyPediatrics Physician
License Number
License Number State

VII. Legacy identifiers

For crosswalk purposes, the following legacy (non-NPI) identifiers are available for this provider:

VIII. Authorized Official

Name: SAMEEKSHA MEEL
Title or Position: PHYSICIAN
Credential:
Phone: 908-307-8263