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MELROSE WAKEFIELD EMERGENCY PHYSICIANS INC. NPI 1790730539


NPI Information

NPI: 1790730539
Provider Name: MELROSE WAKEFIELD EMERGENCY PHYSICIANS, INC.
Classification: Emergency Medicine - 207P00000X
Entity Type: Organization

CLIA Number: 22D2281422

Address:
585 LEBANON ST
MELROSE, MA
ZIP 02176
Phone: (781) 280-1736
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MELROSE WAKEFIELD EMERGENCY PHYSICIANS, INC. is an emergency medicine in Melrose, MA. The provider is an emergency physician focuses on the immediate decision making and action necessary to prevent death or any further disability both in the pre-hospital setting by directing emergency medical technicians and in the emergency department. The emergency physician provides immediate recognition, evaluation, care, stabilization and disposition of a generally diversified population of adult and pediatric patients in response to acute illness and injury. MELROSE WAKEFIELD EMERGENCY PHYSICIANS, INC. NPI is 1790730539. The provider is registered as an organization entity type and is a multi-specialty group.

The provider's business location address is:

585 LEBANON ST
MELROSE, MA
ZIP 02176-225
Phone: (781) 280-1736

The provider's authorized official is Elijah Berg .
The authorized official title is President and has the following contact phone number (781) 280-1500.

The CLIA number assigned to this NPI record is 22D2281422 - hospital with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 5/23/2006 and was last updated on 2/2/2012.


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
1363A00000XPhysician AssistantNo
2207P00000XEmergency 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 Identifier Other Provider Identifier Type Other Provider Identifier State Other Provider Identifier Issuer
1M20685MEDICARE PINMASSACHUSETTS
29785205MEDICAIDMASSACHUSETTS
3M17231OTHERMASSACHUSETTSBCBS
4CG3362MEDICARE PINMASSACHUSETTS

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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