| Mayflower Inpatient Physicians | |
|
70 East St Methuen MA 01844-4597 | |
| (978) 687-0151 | |
| Not Available |
| Full Name | Mayflower Inpatient Physicians |
|---|---|
| Speciality | Internal Medicine |
| Location | 70 East St, Methuen, Massachusetts |
| Authorized Official Name and Position | Jennifer Provasnik (SUPERVISOR OF PROVIDER ENROLLMENT) |
| Authorized Official Contact | 8003550808 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Mayflower Inpatient Physicians Po Box 41610 Philadelphia PA 19101-1610 Ph: (800) 355-0808 | Mayflower Inpatient Physicians 70 East St Methuen MA 01844-4597 Ph: (978) 687-0151 |
| NPI Number | 1841498334 |
|---|---|
| Provider Enumeration Date | 07/05/2007 |
| Last Update Date | 08/22/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1841498334 | NPI | - | NPPES |
| 9730770 | Medicaid | MA |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | (* (Not Available)) | Primary |
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