| North Suburban Internal Medicine & Gastroenterological Associates | |
|
214 Main St Malden MA 02148-6907 | |
| (781) 388-9228 | |
| (781) 388-7787 |
| Full Name | North Suburban Internal Medicine & Gastroenterological Associates |
|---|---|
| Speciality | Internal Medicine |
| Location | 214 Main St, Malden, Massachusetts |
| Authorized Official Name and Position | Chintamani Bhaskar Gokhale (PRESIDENT) |
| Authorized Official Contact | 7813889228 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| North Suburban Internal Medicine & Gastroenterological Associates 214 Main St Malden MA 02148-6907 Ph: (781) 388-9228 | North Suburban Internal Medicine & Gastroenterological Associates 214 Main St Malden MA 02148-6907 Ph: (781) 388-9228 |
| NPI Number | 1548310949 |
|---|---|
| Provider Enumeration Date | 01/10/2007 |
| Last Update Date | 09/25/2007 |
| Medicare PECOS PAC ID | 9537233036 |
|---|---|
| Medicare Enrollment ID | O20080731000756 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1548310949 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207RG0100X | Internal Medicine - Gastroenterology | (* (Not Available)) | Primary |
| Provider Name | Chintamani Gokhale |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1477521623 PECOS PAC ID: 1456382233 Enrollment ID: I20050823000094 |
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