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PEABODY OBGYN LLC NPI 1831198217


NPI Information

NPI: 1831198217
Provider Name: PEABODY OBGYN, LLC
Classification: Obstetrics & Gynecology - 207V00000X
Entity Type: Organization
Address:
6 ESSEX CENTER DR
SUITE 206
PEABODY, MA
ZIP 01960
Phone: (978) 538-5380
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PEABODY OBGYN, LLC is an obstetrics gynecology in Peabody, MA. The provider is an obstetrician/gynecologist possesses special knowledge, skills and professional capability in the medical and surgical care of the female reproductive system and associated disorders. This physician serves as a consultant to other physicians and as a primary physician for women. PEABODY OBGYN, LLC NPI is 1831198217. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

6 ESSEX CENTER DR
SUITE 206
PEABODY, MA
ZIP 01960-910
Phone: (978) 538-5380
Fax: (978) 538-5385

The provider's authorized official is N Luisa Kontoules .
The authorized official title is Owner/president and has the following contact phone number (978) 538-5380.

The enumeration date for this NPI number is 7/19/2005 and was last updated on 7/18/2007.


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 Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1207V00000XObstetrics & Gynecology12345MASSACHUSETTSYes

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
1M21455MEDICARE ID-TYPE UNSPECIFIEDMASSACHUSETTS
29718010MEDICAIDMASSACHUSETTS

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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