| Mark C. Nitzberg, P.c. | |
|
380 R Merrimack St. Ste. 2c Methuen MA 01844 | |
| (978) 681-1977 | |
| (978) 686-8918 |
| Full Name | Mark C. Nitzberg, P.c. |
|---|---|
| Speciality | Internal Medicine |
| Location | 380 R Merrimack St., Methuen, Massachusetts |
| Authorized Official Name and Position | Mark C. Nitzberg (PRESIDENT) |
| Authorized Official Contact | 9786811977 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Mark C. Nitzberg, P.c. 380 R Merrimack St. Ste. 2c Methuen MA 01844 Ph: (978) 681-1977 | Mark C. Nitzberg, P.c. 380 R Merrimack St. Ste. 2c Methuen MA 01844 Ph: (978) 681-1977 |
| NPI Number | 1992900013 |
|---|---|
| Provider Enumeration Date | 06/19/2007 |
| Last Update Date | 11/15/2017 |
| Medicare PECOS PAC ID | 9739119017 |
|---|---|
| Medicare Enrollment ID | O20050816000985 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1992900013 | NPI | - | NPPES |
| 9781480 | Medicaid | MA |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | 74584 (Massachusetts) | Secondary |
| 207RG0100X | Internal Medicine - Gastroenterology | 74584 (Massachusetts) | Primary |
| Provider Name | Mark C Nitzberg |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1881652758 PECOS PAC ID: 3870520588 Enrollment ID: I20050725000909 |
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