Healthcare Provider Details

I. General information

NPI: 1841993870
Provider Name (Legal Business Name): GEORGE TARABELSI
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 03/27/2023
Last Update Date: 06/12/2026
Certification Date: 06/12/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

203 TURNPIKE ST
NORTH ANDOVER MA
01845-5042
US

IV. Provider business mailing address

203 TURNPIKE ST STE 200
NORTH ANDOVER MA
01845-5072
US

V. Phone/Fax

Practice location:
  • Phone: 978-475-4522
  • Fax:
Mailing address:
  • Phone: 978-475-4522
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code208000000X
TaxonomyPediatrics Physician
License Number1026990
License Number StateMA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: