| Northshore Physicians Associates Pc | |
|
85 Constitution Ln Suite 1g Danvers MA 01923-3694 | |
| (978) 777-9090 | |
| Not Available |
| Full Name | Northshore Physicians Associates Pc |
|---|---|
| Speciality | Internal Medicine |
| Location | 85 Constitution Ln, Danvers, Massachusetts |
| Authorized Official Name and Position | Marvin Somi (PRESIDENT) |
| Authorized Official Contact | 9787779090 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Northshore Physicians Associates Pc 85 Constitution Ln Suite 1g Danvers MA 01923-3694 Ph: (978) 777-9090 | Northshore Physicians Associates Pc 85 Constitution Ln Suite 1g Danvers MA 01923-3694 Ph: (978) 777-9090 |
| NPI Number | 1770929606 |
|---|---|
| Provider Enumeration Date | 05/19/2013 |
| Last Update Date | 06/24/2013 |
| Medicare PECOS PAC ID | 6305087438 |
|---|---|
| Medicare Enrollment ID | O20130801000048 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1770929606 | NPI | - | NPPES |
| 2021901 | Medicaid | MA |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | 219213 (Massachusetts) | Primary |
| Provider Name | Marvin G Somi |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1356304646 PECOS PAC ID: 7012801574 Enrollment ID: I20040214000102 |
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