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MELROSE WAKEFIELD CARDIAC TESTING PARTNERSHIP NPI 1023160454


NPI Information

NPI: 1023160454
Provider Name: MELROSE WAKEFIELD CARDIAC TESTING PARTNERSHIP
Classification: Specialist - 174400000X
Entity Type: Organization
Address:
585 LEBANON STREET (MELROSE WAKEFIELD HOSPITAL)
MELROSE, MA
ZIP 02176
Phone: (781) 979-6351
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MELROSE WAKEFIELD CARDIAC TESTING PARTNERSHIP is a specialist in Melrose, 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. MELROSE WAKEFIELD CARDIAC TESTING PARTNERSHIP NPI is 1023160454. The provider is registered as an organization entity type and is a multiple single specialty group.

The provider's business location address is:

585 LEBANON STREET (MELROSE WAKEFIELD HOSPITAL)
MELROSE, MA
ZIP 02176-225
Phone: (781) 979-6351
Fax: (781) 979-6373

The provider's authorized official is Bruce G. Watrous .
The authorized official title is President Melrose Wakefield Testin and has the following contact phone number (781) 942-0606.

The enumeration date for this NPI number is 1/17/2007 and was last updated on 8/12/2008.


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
1207R00000XInternal MedicineNo
2174400000XSpecialistYes

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 Identifier Other Provider Identifier Type Other Provider Identifier State Other Provider Identifier Issuer
1M14655MEDICARE ID-TYPE UNSPECIFIEDMASSACHUSETTS
29758372MEDICAIDMASSACHUSETTS
3M14655MEDICARE PINMASSACHUSETTS
4M14655OTHERMASSACHUSETTSMA BLUE SHIELD

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: 5/5/2024

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