| Manor Hill Medical Associates Llc | |
|
15 Lexington Ave Ste 1 Gloucester MA 01930-3900 | |
| (978) 282-3698 | |
| (978) 282-3612 |
| Full Name | Manor Hill Medical Associates Llc |
|---|---|
| Speciality | Internal Medicine |
| Location | 15 Lexington Ave Ste 1, Gloucester, Massachusetts |
| Authorized Official Name and Position | Jay J Isaac (OWNER) |
| Authorized Official Contact | 9782823698 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Manor Hill Medical Associates Llc 15 Lexington Ave Ste 1 Gloucester MA 01930-3900 Ph: (978) 282-3698 | Manor Hill Medical Associates Llc 15 Lexington Ave Ste 1 Gloucester MA 01930-3900 Ph: (978) 282-3698 |
| NPI Number | 1609281914 |
|---|---|
| Provider Enumeration Date | 06/25/2014 |
| Last Update Date | 02/12/2025 |
| Medicare PECOS PAC ID | 7416274832 |
|---|---|
| Medicare Enrollment ID | O20150324001706 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1609281914 | NPI | - | NPPES |
| 3195601 | Medicaid | MA |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | 160031 (Massachusetts) | Primary |
| Provider Name | Jay J Isaac |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1730134099 PECOS PAC ID: 5294748075 Enrollment ID: I20091007000014 |
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