Primary Care Physician North Pc | |
6 Essex Center Dr Ste 201 Peabody MA 01960-2906 | |
(978) 558-4050 | |
Not Available |
Full Name | Primary Care Physician North Pc |
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Speciality | Internal Medicine |
Location | 6 Essex Center Dr Ste 201, Peabody, Massachusetts |
Authorized Official Name and Position | Yan Sun (DIRECTOR) |
Authorized Official Contact | 6173088276 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
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Primary Care Physician North Pc 6 Essex Center Dr Ste 201 Peabody MA 01960-2906 Ph: (978) 558-4050 | Primary Care Physician North Pc 6 Essex Center Dr Ste 201 Peabody MA 01960-2906 Ph: (978) 558-4050 |
NPI Number | 1902363294 |
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Provider Enumeration Date | 02/22/2019 |
Last Update Date | 04/29/2019 |
Medicare PECOS PAC ID | 0840532354 |
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Medicare Enrollment ID | O20190502003025 |
Identifier | Type | State | Issuer |
---|---|---|---|
1902363294 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
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207R00000X | Internal Medicine | (* (Not Available)) | Primary |
Provider Name | Jing Yu |
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Provider Type | Practitioner - Internal Medicine |
Provider Identifiers | NPI Number: 1598711285 PECOS PAC ID: 9739266883 Enrollment ID: I20080414000420 |
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