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HAVERHILL FAMILY PRACTICE NPI 1417127242


NPI Information

NPI: 1417127242
Provider Name: HAVERHILL FAMILY PRACTICE

Doing Business As: HAVERHILL FAMILY PRACTICE

Classification: Point of Service - 305S00000X
Entity Type: Organization
Address:
62 BROWN ST
SUITE 404
HAVERHILL, MA
ZIP 01830
Phone: (978) 521-6555
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HAVERHILL FAMILY PRACTICE is a point of service in Haverhill, MA. The provider is this product may also be called an open-ended HMO and offers a transition product incorporating features of both HMOs and PPOs. Beneficiaries are enrolled in an HMO but have the option to go outside the networks for an additional cost. HAVERHILL FAMILY PRACTICE NPI is 1417127242. The provider is registered as an organization entity type.
The provider Is Doing Business As Haverhill Family Practice.

The provider's business location address is:

62 BROWN ST
SUITE 404
HAVERHILL, MA
ZIP 01830
Phone: (978) 521-6555
Fax: (978) 521-1236

The provider's authorized official is Ronald Goldberg .
The authorized official title is Md and has the following contact phone number (978) 521-6555.

The enumeration date for this NPI number is 3/7/2008 and was last updated on 10/7/2015.


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
1305S00000XPoint of Service27679MASSACHUSETTSNo
2305S00000XPoint of ServiceMASSACHUSETTSYes

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

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.