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NPI Code Detail

MEDICARE: DR. JULIA ANDREA ELVIN MD, PHD

MEDICARE: DR. JULIA ANDREA ELVIN MD, PHD
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
1174400000XSpecialist223627MA

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1780672162
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. JULIA ANDREA ELVIN MD, PHD
Provider Business Mailing Address
First Line : 200 CORPORATE PL
Second Line : SUITE 7
City : PEABODY
State : MA
Zip : 01960-3840
Country : US
Telephone Number : 978-535-3317
Fax Number : 978-535-2371
Provider Business Practice Location Address
First Line : 200 CORPORATE PL
Second Line : SUITE 7
City : PEABODY
State : MA
Zip : 01960-3840
Country : US
Telephone Number : 978-535-3317
Fax Number : 978-535-2371
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 10/11/2005
Last Update Date : 04/07/2011

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