| Eagle Medicine Associates | |
|
25 Marston St 4th Floor Lawrence MA 01841-2310 | |
| (978) 725-5913 | |
| (978) 725-5918 |
| Full Name | Eagle Medicine Associates |
|---|---|
| Speciality | Internal Medicine |
| Location | 25 Marston St, Lawrence, Massachusetts |
| Authorized Official Name and Position | Oleksandr Stupytskyi (PHYSICIAN) |
| Authorized Official Contact | 9787255913 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Eagle Medicine Associates 25 Marston St 4th Floor Lawrence MA 01841-2310 Ph: (978) 725-5913 | Eagle Medicine Associates 25 Marston St 4th Floor Lawrence MA 01841-2310 Ph: (978) 725-5913 |
| NPI Number | 1588952550 |
|---|---|
| Provider Enumeration Date | 07/12/2011 |
| Last Update Date | 07/12/2011 |
| Medicare PECOS PAC ID | 7911171970 |
|---|---|
| Medicare Enrollment ID | O20111201000248 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1588952550 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | 233485 (Massachusetts) | Primary |
| Provider Name | Oleksandr Stupnytskyi |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1598712739 PECOS PAC ID: 9335194083 Enrollment ID: I20080130000189 |
| Provider Name | Emma Babayan |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1861460016 PECOS PAC ID: 6002931482 Enrollment ID: I20100909000608 |
| Provider Name | Denise Lopez |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1497227821 PECOS PAC ID: 8921410267 Enrollment ID: I20201210001854 |
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Community Medical Associates, Inc. Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 25 Marston St, Suite 202, Lawrence, MA 01841 Phone: 978-683-4000 Fax: 978-946-8136 | |
Lawrence G. Kidd M.d., P.c. Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 25 Marston St, Ste 401, Lawrence, MA 01841 Phone: 978-682-3686 Fax: 978-794-0841 |