Healthcare Provider Details

I. General information

NPI: 1245231505
Provider Name (Legal Business Name): GASTROINTESTINAL PHYSICIANS PC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 08/09/2005
Last Update Date: 11/11/2009
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

55 HIGHLAND AVE STE 304
SALEM MA
01970-2100
US

IV. Provider business mailing address

55 HIGHLAND AVE SUITE 304
SALEM MA
01970-2185
US

V. Phone/Fax

Practice location:
  • Phone: 978-741-4171
  • Fax: 978-741-4283
Mailing address:
  • Phone: 978-741-4171
  • Fax: 978-741-4283

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207RG0100X
TaxonomyGastroenterology Physician
License Number
License Number State

VIII. Authorized Official

Name: ALBERT NAMIAS
Title or Position: PRESIDENT
Credential: MD
Phone: 978-741-4171