| Terence Edward Moran, MD | |
|
288 Groveland St, Unit C-3, Haverhill, MA 01830-6674 | |
| (978) 521-8108 | |
| (978) 521-8372 |
| Full Name | Terence Edward Moran |
|---|---|
| Gender | Male |
| Speciality | Pediatrics |
| Location | 288 Groveland St, Haverhill, Massachusetts |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1366433906 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 208000000X | Pediatrics | 21339 (New Hampshire) | Secondary |
| 208000000X | Pediatrics | 24027 (Massachusetts) | Primary |
| Entity Name | Massachusetts General Physicians Organization Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1801874573 PECOS PAC ID: 2466365820 Enrollment ID: O20031111000434 |
| Entity Name | Pratt Pediatric Associates Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1477590511 PECOS PAC ID: 3779475371 Enrollment ID: O20040329000127 |
| Entity Name | The General Hospital Corporation |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1023049236 PECOS PAC ID: 6507803806 Enrollment ID: O20080313000351 |
| Mailing Address | Practice Location Address |
|---|---|
| Terence Edward Moran, MD 288 Groveland St, Unit C-3, Haverhill, MA 01830-6674 Ph: (978) 521-8108 | Terence Edward Moran, MD 288 Groveland St, Unit C-3, Haverhill, MA 01830-6674 Ph: (978) 521-8108 |
Steven P. Bloom, M.D. Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 1 Parkway, Haverhill, MA 01830 Phone: 978-521-3230 Fax: 978-521-3256 | |
Carl F. Rosenbloom, M.D. Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 1 Parkway, Haverhill, MA 01830 Phone: 978-521-3230 Fax: 978-521-3256 | |
Dr. Christine Daragjati Riccardi, M.D. Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 2 Water St, Haverhill, MA 01830 Phone: 978-373-6557 Fax: 978-374-5096 | |
Paula Boulanger, M.D. Pediatrics Medicare: Medicare Enrolled Practice Location: 1 Parkway, Haverhill, MA 01830 Phone: 978-521-3230 Fax: 978-521-3256 | |
Sherwood B Lee, M.D. Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 1 Parkway, Haverhill, MA 01830 Phone: 978-521-3230 Fax: 978-521-3256 | |
Mrs. Lisa M Fitzgibbons, MD Pediatrics Medicare: Medicare Enrolled Practice Location: 1 Parkway, Haverhill, MA 01830 Phone: 978-521-3230 Fax: 978-521-3256 |