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NORTH SHORE VASCULAR P.C. NPI 1548462096


NPI Information

NPI: 1548462096
Provider Name: NORTH SHORE VASCULAR, P.C.
Classification: Surgery - 2086S0129X
Entity Type: Organization

Specialization: Vascular Surgery

Address:
900 CUMMINGS CTR
SUITE 118T
BEVERLY, MA
ZIP 01915
Phone: (978) 232-3555
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NORTH SHORE VASCULAR, P.C. is a vascular surgery surgery in Beverly, MA. The provider is a surgeon with expertise in the management of surgical disorders of the blood vessels, excluding the intracranial vessels or the heart. NORTH SHORE VASCULAR, P.C. NPI is 1548462096. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

900 CUMMINGS CTR
SUITE 118T
BEVERLY, MA
ZIP 01915-198
Phone: (978) 232-3555

The provider's authorized official is John Thomas Dooley .
The authorized official title is President and has the following contact phone number (978) 232-3555.

The enumeration date for this NPI number is 6/5/2007 and was last updated on 11/8/2007.


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
12086S0129XSurgeryVascular Surgery152376MASSACHUSETTSYes

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
19737936MEDICAIDMASSACHUSETTS
2M21590MEDICARE PIN

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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