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WELL LIFE MEDICAL PC NPI 1669460903


NPI Information

NPI: 1669460903
Provider Name: WELL LIFE MEDICAL, PC
Classification: Internal Medicine - 207R00000X
Entity Type: Organization
Address:
55 HIGHLAND AVE
STE 101
SALEM, MA
ZIP 01970
Phone: (978) 740-2300
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WELL LIFE MEDICAL, PC is an internal medicine in Salem, 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. WELL LIFE MEDICAL, PC NPI is 1669460903. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

55 HIGHLAND AVE
STE 101
SALEM, MA
ZIP 01970-100
Phone: (978) 740-2300
Fax: (978) 744-3993

The provider's authorized official is Denise Cordero .
The authorized official title is Office Manager and has the following contact phone number (978) 740-2300.

The enumeration date for this NPI number is 10/11/2005 and was last updated on 11/4/2009.


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

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
1F45521MEDICARE UPIN
29779809MEDICAIDMASSACHUSETTS
364871OTHERHPHC
4076125OTHERMASSACHUSETTSTUFTS
5J13272OTHERMASSACHUSETTSBCBS
6M20271MEDICARE 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: 11/14/2023

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