| North Shore Preventive Health Care, P.c. | |
|
75 Herrick St Suite 116 Beverly MA 01915-5903 | |
| (978) 502-8850 | |
| Not Available |
| Full Name | North Shore Preventive Health Care, P.c. |
|---|---|
| Speciality | Internal Medicine |
| Location | 75 Herrick St, Beverly, Massachusetts |
| Authorized Official Name and Position | Roy Leland Ruff (PRESIDENT) |
| Authorized Official Contact | 9785028850 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| North Shore Preventive Health Care, P.c. 75 Herrick St Suite 116 Beverly MA 01915-5903 Ph: (978) 502-8850 | North Shore Preventive Health Care, P.c. 75 Herrick St Suite 116 Beverly MA 01915-5903 Ph: (978) 502-8850 |
| NPI Number | 1255691556 |
|---|---|
| Provider Enumeration Date | 05/21/2012 |
| Last Update Date | 05/21/2012 |
| Medicare PECOS PAC ID | 9537325907 |
|---|---|
| Medicare Enrollment ID | O20120730000703 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1255691556 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | 45310 (Massachusetts) | Primary |
| 207RP1001X | Internal Medicine - Pulmonary Disease | 45310 (Massachusetts) | Secondary |
| Provider Name | Roy L Ruff |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1326072661 PECOS PAC ID: 1951341965 Enrollment ID: I20051024000937 |
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