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NPI Code Detail

MEDICARE: CHILDREN'S MEDICAL OFFICE OF NORTH ANDOVER, PC

MEDICARE: CHILDREN'S MEDICAL OFFICE OF NORTH ANDOVER, PC
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1208000000XPediatrics Physician

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
197505301OTHERMANETWORK HEALTH PLAN
236117OTHERMAFALLON COMMUNITY HEALTH P
3717523OTHERMATUFTS HEALTH PLAN
4731931OTHERMAUNITED HEALTH CARE
5M15683OTHERMABLUE CROSS BLUE SHIELD
682573OTHERMAAETNA HEALTH CARE
7MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
8MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1144262874
Entity Type Code : Organization
Provider Name (Legal Business Name) : CHILDREN'S MEDICAL OFFICE OF NORTH ANDOVER, PC
Provider Business Mailing Address
First Line : 477 ANDOVER ST
Second Line :
City : NORTH ANDOVER
State : MA
Zip : 01845-5036
Country : US
Telephone Number : 978-975-3355
Fax Number :
Provider Business Practice Location Address
First Line : 477 ANDOVER ST
Second Line :
City : NORTH ANDOVER
State : MA
Zip : 01845-5036
Country : US
Telephone Number : 978-975-3355
Fax Number :
Authorized Official
Title or Position : BUSINESS MANAGER
Name : MS. GAIL ANSEL
Credential :
Telephone Number : 978-975-3355
Provider Enumeration Date : 06/10/2006
Last Update Date : 08/22/2020

Similar Medicare Providers

1184615957 — ELISABETH BEATRICE WINTERKORN MD
Practice Location Address:
477 ANDOVER ST , CHILDREN'S MEDICAL OFFICE OF NORTH ANDOVER
NORTH ANDOVER, MA
01845-5036
Practice Phone: 978-975-3355
Practice Fax: 978-975-3510
1427030345 — CHRISTINA CONNELLY CPNP
Practice Location Address:
477 ANDOVER ST
NORTH ANDOVER, MA
01845-5036
Practice Phone: 978-975-3355
Practice Fax:
1548242464 — MARJORIE PALMER BURTON CPNP
Practice Location Address:
477 ANDOVER ST
NORTH ANDOVER, MA
01845-5036
Practice Phone: 978-975-3355
Practice Fax:
1952377996 — DANIEL A SUMMERS MD
Practice Location Address:
477 ANDOVER ST
NORTH ANDOVER, MA
01845-5036
Practice Phone: 978-975-3355
Practice Fax:
1356401723 — DR. RICHARD JAY HELLER M.D.
Practice Location Address:
471 ANDOVER ST
NORTH ANDOVER, MA
01845-5036
Practice Phone: 978-725-8900
Practice Fax: 978-327-5205
1679796882 — RONALD VERLE NORRIS MD
Practice Location Address:
451 ANDOVER STREET , #301
NORTH ANDOVER, MA
01845-5036
Practice Phone: 508-454-5379
Practice Fax:

Directions to “CHILDREN'S MEDICAL OFFICE OF NORTH ANDOVER, PC ” Practice Location

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