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NORTHERN ESSEX WOMEN'S HEALTH PC NPI 1629025077


NPI Information

NPI: 1629025077
Provider Name: NORTHERN ESSEX WOMEN'S HEALTH, PC

Former Legal Business Name: NORTHERN ESSEX OBGYN ASSOCIATES

Classification: Obstetrics & Gynecology - 207V00000X
Entity Type: Organization
Address:
360 MERRIMACK ST
ENTRANCE G
LAWRENCE, MA
ZIP 01843
Phone: (978) 557-9060
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NORTHERN ESSEX WOMEN'S HEALTH, PC is an obstetrics gynecology in Lawrence, MA. The provider is an obstetrician/gynecologist possesses special knowledge, skills and professional capability in the medical and surgical care of the female reproductive system and associated disorders. This physician serves as a consultant to other physicians and as a primary physician for women. NORTHERN ESSEX WOMEN'S HEALTH, PC NPI is 1629025077. The provider is registered as an organization entity type and is a single specialty group.
The provider Former Legal Business Name Is Northern Essex Obgyn Associates.

The provider's business location address is:

360 MERRIMACK ST
ENTRANCE G
LAWRENCE, MA
ZIP 01843-740
Phone: (978) 557-9060
Fax: (978) 557-9064

The provider's authorized official is Byungyol Chun .
The authorized official title is Pres and has the following contact phone number (978) 556-9060.

The enumeration date for this NPI number is 5/30/2006 and was last updated on 2/28/2011.


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
1207V00000XObstetrics & GynecologyYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No. Other Provider Identifier Other Provider Identifier Type Other Provider Identifier State Other Provider Identifier Issuer
1043572001OTHERCIGNA
2043572001OTHERHARVARD PILGRIM
3043572001OTHERSENIOR WHOLE HEALTH PLAN
430211826OTHERNEW HAMPSHIRE MEDICAID
50023344OTHERNEIGHBORHOOD HEALTH
6043572001OTHERUNITED HEALTH CARE NE
780520OTHERFALLON
8M20997MEDICARE ID-TYPE UNSPECIFIED
9043572001OTHERHEALTH SOURCE
10M20997OTHERRAILROAD MEDICARE
11043572001OTHERHEALTH CARE VALUE MGT
12043572001OTHERAETNA
139708146OTHERMASS HEALTH HEALTHY START
14DA7668OTHERRAILROAD MEDICARE
15M17811OTHERBCBS
16043572001OTHERCHAMPUS TRICARE
17690487OTHERTUFTS HEALTH PLAN

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: 5/5/2024

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