Healthcare Provider Details

I. General information

NPI: 1104004795
Provider Name (Legal Business Name): ESSEX INPATIENT PHYSICIANS, PC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 02/05/2008
Last Update Date: 07/28/2022
Certification Date: 07/28/2022
Deactivation Date:
Reactivation Date:

III. Provider practice location address

795 TURNPIKE ST STE 201-202
NORTH ANDOVER MA
01845-6128
US

IV. Provider business mailing address

PO BOX 8002
SALEM NH
03079-8002
US

V. Phone/Fax

Practice location:
  • Phone: 978-377-8381
  • Fax: 978-296-3783
Mailing address:
  • Phone: 800-927-0002
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code208M00000X
TaxonomyHospitalist Physician
License Number
License Number State

VIII. Authorized Official

Name: DR. JAMES DANIEL TOLLMAN
Title or Position: PRESIDENT
Credential: M.D.
Phone: 978-377-8381