Essex Medical Associates | |
451 Andover St Suite 206 North Andover MA 01845-5044 | |
(978) 725-3636 | |
(978) 327-6827 |
Full Name | Essex Medical Associates |
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Speciality | Clinic/Center |
Location | 451 Andover St, North Andover, Massachusetts |
Authorized Official Name and Position | Vani Sree Reddi (OWNER) |
Authorized Official Contact | 9787253636 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
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Essex Medical Associates 4 Worthen Pl Andover MA 01810-2846 Ph: () - | Essex Medical Associates 451 Andover St Suite 206 North Andover MA 01845-5044 Ph: (978) 725-3636 |
NPI Number | 1649269135 |
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Provider Enumeration Date | 10/17/2005 |
Last Update Date | 12/04/2012 |
Medicare PECOS PAC ID | 2769383868 |
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Medicare Enrollment ID | O20040120000601 |
Identifier | Type | State | Issuer |
---|---|---|---|
1649269135 | NPI | - | NPPES |
A28560 | Medicaid | MA | |
3181235 | Medicaid | MA |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
261QP2300X | Clinic/center - Primary Care | 154422 (Massachusetts) | Primary |
Provider Name | Vani S Reddi |
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Provider Type | Practitioner - Internal Medicine |
Provider Identifiers | NPI Number: 1407803299 PECOS PAC ID: 6204737406 Enrollment ID: I20040120000546 |
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