MIDDLESEX RECOVERY P.C. NPI 1033712179

NPI Information

  • NPI: 1033712179
  • Provider Name: MIDDLESEX RECOVERY, P.C.
  • Classification: Preventive Medicine - 2083A0300X
  • Specialization: Addiction Medicine
  • Entity Type: Organization
  • CLIA Number: 30D2239097
  • Address: 45 STILES RD STE 206
    SALEM, NH
    ZIP 03079
  • Phone: (603) 824-6937

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NPI Details

MIDDLESEX RECOVERY, P.C. is an addiction medicine preventive medicine in Salem, NH. The provider is a physician engaged in the subspecialty practice of Addiction Medicine who specializes in the prevention, evaluation, diagnosis, treatment, and recovery of persons with the disease of addiction. MIDDLESEX RECOVERY, P.C. NPI is 1033712179. The provider is registered as an organization entity type and is a multi-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 Bruce Jarvie .
The authorized official title is Vp, Treasurer and has the following contact phone number (214) 379-3300.

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 7/29/2024.

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
12083A0300XPreventive MedicineAddiction MedicineYes
2261QR0405XClinic/CenterRehabilitation, Substance Use DisorderNo

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: 11/21/2025

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