| Primary Care Physician North Pc | |
|
6 Essex Center Dr Ste 201 Peabody MA 01960-2906 | |
| (978) 558-4050 | |
| Not Available |
| Full Name | Primary Care Physician North Pc |
|---|---|
| Speciality | Internal Medicine |
| Location | 6 Essex Center Dr Ste 201, Peabody, Massachusetts |
| Authorized Official Name and Position | Yan Sun (DIRECTOR) |
| Authorized Official Contact | 6173088276 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Primary Care Physician North Pc 6 Essex Center Dr Ste 201 Peabody MA 01960-2906 Ph: (978) 558-4050 | Primary Care Physician North Pc 6 Essex Center Dr Ste 201 Peabody MA 01960-2906 Ph: (978) 558-4050 |
| NPI Number | 1902363294 |
|---|---|
| Provider Enumeration Date | 02/22/2019 |
| Last Update Date | 04/29/2019 |
| Medicare PECOS PAC ID | 0840532354 |
|---|---|
| Medicare Enrollment ID | O20190502003025 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1902363294 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | (* (Not Available)) | Primary |
| Provider Name | Jing Yu |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1598711285 PECOS PAC ID: 9739266883 Enrollment ID: I20080414000420 |
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