| St Marys Internal Medicine Pc | |
|
6 Essex Center Dr Suite 304 Peabody MA 01960-2904 | |
| (978) 854-6376 | |
| Not Available |
| Full Name | St Marys Internal Medicine Pc |
|---|---|
| Speciality | Internal Medicine |
| Location | 6 Essex Center Dr, Peabody, Massachusetts |
| Authorized Official Name and Position | Sungsik Hahn (PRESIDENT) |
| Authorized Official Contact | 5082653975 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| St Marys Internal Medicine Pc 6 Essex Center Dr Suite 304 Peabody MA 01960-2904 Ph: (978) 854-6376 | St Marys Internal Medicine Pc 6 Essex Center Dr Suite 304 Peabody MA 01960-2904 Ph: (978) 854-6376 |
| NPI Number | 1194270413 |
|---|---|
| Provider Enumeration Date | 08/16/2016 |
| Last Update Date | 02/02/2017 |
| Medicare PECOS PAC ID | 7315225570 |
|---|---|
| Medicare Enrollment ID | O20161024001400 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1194270413 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | (* (Not Available)) | Primary |
| 261QP2300X | Clinic/center - Primary Care | 236055 (Massachusetts) | Secondary |
| Provider Name | Linus Sungsik Hahn |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1609067917 PECOS PAC ID: 0446324321 Enrollment ID: I20080812000027 |
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