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NPI Code Detail

MEDICARE: MARJORIE J. MCCLUSKEY N.P.

MEDICARE:   MARJORIE J. MCCLUSKEY  N.P.
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
1363L00000XNurse Practitioner182270MA

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 : 1841248465
Entity Type Code : Individual
Provider Name (Legal Business Name) : MARJORIE J. MCCLUSKEY N.P.
Provider Business Mailing Address
First Line : 105 WEBSTER ST
Second Line : SUITE 8
City : HANOVER
State : MA
Zip : 02339-1227
Country : US
Telephone Number : 781-754-6545
Fax Number : 781-536-0016
Provider Business Practice Location Address
First Line : 105 WEBSTER ST
Second Line : SUITE 8
City : HANOVER
State : MA
Zip : 02339-1227
Country : US
Telephone Number : 781-754-6545
Fax Number : 781-536-0016
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 05/05/2006
Last Update Date : 05/24/2016

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Directions to “ MARJORIE J. MCCLUSKEY N.P.” Practice Location

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