Eaton Medical Associates Pllc | |
87 Jackson St Methuen MA 01844-5044 | |
(978) 208-4756 | |
(978) 685-5950 |
Full Name | Eaton Medical Associates Pllc |
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Speciality | General Practice |
Location | 87 Jackson St, Methuen, Massachusetts |
Authorized Official Name and Position | Anthony Gibran Eaton (OWNER) |
Authorized Official Contact | 9789732740 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
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Eaton Medical Associates Pllc 87 Jackson St Methuen MA 01844-5044 Ph: (978) 208-4756 | Eaton Medical Associates Pllc 87 Jackson St Methuen MA 01844-5044 Ph: (978) 208-4756 |
NPI Number | 1699914325 |
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Provider Enumeration Date | 02/19/2009 |
Last Update Date | 04/29/2016 |
Medicare PECOS PAC ID | 0446301998 |
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Medicare Enrollment ID | O20090626000248 |
Identifier | Type | State | Issuer |
---|---|---|---|
1699914325 | NPI | - | NPPES |
AA13929 | Other | MA | HARVARD PILGRIM HEALTHCARE |
J27682 | Other | MA | BLUE CROSS BLUE SHIELD |
2061546 | Medicaid | MA | |
469196 | Other | MA | TUFTS HEALTH PLAN |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
208D00000X | General Practice | (* (Not Available)) | Primary |
Provider Name | Anthony Gibran Eaton |
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Provider Type | Practitioner - Internal Medicine |
Provider Identifiers | NPI Number: 1831193101 PECOS PAC ID: 9931187101 Enrollment ID: I20040713000865 |
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