Northshore Physicians Associates Pc | |
85 Constitution Ln Suite 1g Danvers MA 01923-3694 | |
(978) 777-9090 | |
Not Available |
Full Name | Northshore Physicians Associates Pc |
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Speciality | Internal Medicine |
Location | 85 Constitution Ln, Danvers, Massachusetts |
Authorized Official Name and Position | Marvin Somi (PRESIDENT) |
Authorized Official Contact | 9787779090 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
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Northshore Physicians Associates Pc 85 Constitution Ln Suite 1g Danvers MA 01923-3694 Ph: (978) 777-9090 | Northshore Physicians Associates Pc 85 Constitution Ln Suite 1g Danvers MA 01923-3694 Ph: (978) 777-9090 |
NPI Number | 1770929606 |
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Provider Enumeration Date | 05/19/2013 |
Last Update Date | 06/24/2013 |
Medicare PECOS PAC ID | 6305087438 |
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Medicare Enrollment ID | O20130801000048 |
Identifier | Type | State | Issuer |
---|---|---|---|
1770929606 | NPI | - | NPPES |
2021901 | Medicaid | MA |
Taxonomy | Type | License (State) | Status |
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207R00000X | Internal Medicine | 219213 (Massachusetts) | Primary |
Provider Name | Marvin G Somi |
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Provider Type | Practitioner - Internal Medicine |
Provider Identifiers | NPI Number: 1356304646 PECOS PAC ID: 7012801574 Enrollment ID: I20040214000102 |
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