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CONCORD OB/GYN ASSOCIATES PC NPI 1114919313


NPI Information

NPI: 1114919313
Provider Name: CONCORD OB/GYN ASSOCIATES PC
Classification: Obstetrics & Gynecology - 207V00000X
Entity Type: Organization

CLIA Number: 22D1008067

Address:
59 ORNAC
SUITE 1
CONCORD, MA
ZIP 01742
Phone: (978) 369-7627
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CONCORD OB/GYN ASSOCIATES PC is an obstetrics gynecology in Concord, 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. CONCORD OB/GYN ASSOCIATES PC NPI is 1114919313. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

59 ORNAC
SUITE 1
CONCORD, MA
ZIP 01742-317
Phone: (978) 369-7627
Fax: (976) 371-2240

The provider's authorized official is Avra Jordano-alter .
The authorized official title is President and has the following contact phone number (978) 369-7627.

The CLIA number assigned to this NPI record is 22D1008067 - physician office with a certificate type of Certificate for Provider-Performed Microscopy Procedures (PPMP).

The enumeration date for this NPI number is 8/16/2005 and was last updated on 10/29/2008.


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 CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
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 IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
19725733MEDICAIDMASSACHUSETTS
2M21217MEDICARE ID-TYPE UNSPECIFIEDMASSACHUSETTS

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: 4/28/2024

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