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ST MARYS INTERNAL MEDICINE PC NPI 1194270413


NPI Information

NPI: 1194270413
Provider Name: ST MARYS INTERNAL MEDICINE PC
Classification: Internal Medicine - 207R00000X
Entity Type: Organization

CLIA Number: 22D2120876

Address:
6 ESSEX CENTER DR
SUITE 304
PEABODY, MA
ZIP 01960
Phone: (978) 854-6376
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ST MARYS INTERNAL MEDICINE PC is an internal medicine in Peabody, MA. The provider is a physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs. ST MARYS INTERNAL MEDICINE PC NPI is 1194270413. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

6 ESSEX CENTER DR
SUITE 304
PEABODY, MA
ZIP 01960-904
Phone: (978) 854-6376

The provider's authorized official is Sungsik Hahn .
The authorized official title is President and has the following contact phone number (508) 265-3975.

The CLIA number assigned to this NPI record is 22D2120876 - physician office with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 8/16/2016 and was last updated on 2/2/2017.


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
1207R00000XInternal MedicineYes
2261QP2300XClinic/CenterPrimary Care236055MASSACHUSETTSNo

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

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