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CHILDREN'S MEDICAL OFFICE OF NORTH ANDOVER PC NPI 1144262874


NPI Information

NPI: 1144262874
Provider Name: CHILDREN'S MEDICAL OFFICE OF NORTH ANDOVER, PC

Doing Business As: CHILDREN'S MEDICAL OFFICE

Classification: Pediatrics - 208000000X
Entity Type: Organization

CLIA Number: 22D0071297

Address:
477 ANDOVER ST
NORTH ANDOVER, MA
ZIP 01845
Phone: (978) 975-3355
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CHILDREN'S MEDICAL OFFICE OF NORTH ANDOVER, PC is a pediatrics in North Andover, MA. The provider is a pediatrician is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on development. CHILDREN'S MEDICAL OFFICE OF NORTH ANDOVER, PC NPI is 1144262874. The provider is registered as an organization entity type and is a single specialty group.
The provider Is Doing Business As Children's Medical Office.

The provider's business location address is:

477 ANDOVER ST
NORTH ANDOVER, MA
ZIP 01845-036
Phone: (978) 975-3355

The provider's authorized official is Gail Ansel .
The authorized official title is Business Manager and has the following contact phone number (978) 975-3355.

The CLIA number assigned to this NPI record is 22D0071297 - physician office with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 6/10/2006 and was last updated on 8/22/2020.


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 CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1208000000XPediatricsYes

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
136117OTHERMASSACHUSETTSFALLON COMMUNITY HEALTH P
2731931OTHERMASSACHUSETTSUNITED HEALTH CARE
3M15683OTHERMASSACHUSETTSBLUE CROSS BLUE SHIELD
4717523OTHERMASSACHUSETTSTUFTS HEALTH PLAN
582573OTHERMASSACHUSETTSAETNA HEALTH CARE
630210526MEDICAIDNEW HAMPSHIRE
797505301OTHERMASSACHUSETTSNETWORK HEALTH PLAN
89770801MEDICAIDMASSACHUSETTS

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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