Healthcare Provider Details

I. General information

NPI: 1336051622
Provider Name (Legal Business Name): URGENT HELP CHELMSFORD PC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 09/21/2026
Last Update Date: 09/21/2026
Certification Date: 09/21/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

42 WASHINGTON ST
NORWELL MA
02061-1716
US

IV. Provider business mailing address

21 NEPTUNE RD
MARBLEHEAD MA
01945-1370
US

V. Phone/Fax

Practice location:
  • Phone: 781-421-3503
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code207Q00000X
TaxonomyFamily Medicine Physician
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code207R00000X
TaxonomyInternal Medicine Physician
License Number
License Number State
# 3
Primary TaxonomyY
Taxonomy Code261QU0200X
TaxonomyUrgent Care Clinic/Center
License Number
License Number State

VIII. Authorized Official

Name: PETTER MULLER ETHOLM
Title or Position: SECRETARY AND TREASURER
Credential:
Phone: 617-510-4086