NORTHEAST PHYSICIAN PRACTICE NPI 1841228632

NPI Information

  • NPI: 1841228632
  • Provider Name: NORTHEAST PHYSICIAN PRACTICE
  • Classification: Specialist - 174400000X
  • Entity Type: Organization
  • Doing Business As: OB/GYN ASSOCIATES
  • Address: 225 BOSTON ST
    SUITE 205
    LYNN, MA
    ZIP 01904
  • Phone: (781) 595-4544

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NPI Details

NORTHEAST PHYSICIAN PRACTICE is a specialist in Lynn, MA. The provider is an individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree. NORTHEAST PHYSICIAN PRACTICE NPI is 1841228632. The provider is registered as an organization entity type and is a single specialty group.
The provider Is Doing Business As Ob/gyn Associates.

The provider's business location address is:

225 BOSTON ST
SUITE 205
LYNN, MA
ZIP 01904-137
Phone: (781) 595-4544
Fax: (781) 581-3740

The provider's authorized official is Kim Rouillard .
The authorized official title is Credentialing Manager and has the following contact phone number (978) 818-6110.

The enumeration date for this NPI number is 6/29/2006 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 Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1174400000XSpecialistYes

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: 11/21/2025

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