MIDDLESEX RECOVERY P.C. NPI 1033712179

NPI Information

NPI: 1033712179
Provider Name: MIDDLESEX RECOVERY, P.C.
Classification: Family Medicine - 207QA0401X
Entity Type: Organization

Specialization: Addiction Medicine

CLIA Number: 30D2239097

Address:
45 STILES RD STE 206
SALEM, NH
ZIP 03079
Phone: (603) 824-6937
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MIDDLESEX RECOVERY, P.C. is an addiction medicine family medicine in Salem, NH. The provider is a family medicine physician who specializes in the diagnosis and treatment of addictions. MIDDLESEX RECOVERY, P.C. NPI is 1033712179. The provider is registered as an organization entity type and is a multiple single specialty group.

The provider's business location address is:

45 STILES RD STE 206
SALEM, NH
ZIP 03079-851
Phone: (603) 824-6937

The provider's authorized official is Brian William O'connor .
The authorized official title is President and has the following contact phone number (781) 305-3300.

The CLIA number assigned to this NPI record is 30D2239097 - physician office with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 11/20/2020 and was last updated on 11/20/2020.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	207QA0401X	Family Medicine	Addiction Medicine			Yes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/14/2023

NPI Synchronization or Removal

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