Unknown Individual – Obstetrics & Gynecology Physician, NPI 1316091465

Unknown Individual is a healthcare provider. based in Norwell, Massachusetts. specializing in Obstetrics & Gynecology Physician. They hold a License No. 56610 (MA). The NPI Number for Unknown Individual is 1316091465

Main info

Organization
Inactive
42 Years Of Experience
Accepts Medicare Assignment
Name
Unknown Individual
NPI
1316091465
Phone
(781) 829-0930
Address
99 LONGWATER CIR 100
Deactivation Date
22 February 2023

Doctor Profile

Medical School Name
TUFTS UNIVERSITY SCHOOL OF MEDICINE
Secondary Phone
-
Graduation Year
1984 (42 years ago)
PAC ID
0840256087
Professional Enrollment ID
I20041208001094
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience14
Completeness75
Years active:0State licenses:1Digital endpointsOther names

Provider Addresses for Unknown Individual

  • 99 LONGWATER CIR 100

    NORWELL, MA 020611643

    Phone: (781) 829-0930

    Fax: (781) 829-8933

    Type: Location

  • 207, Beacon Street, Brushwood, Milton, Norfolk County, Massachusetts, 02137, United States

    MILTON, MA 021861034

    Phone: (617) 680-5965

    Type: Mailing

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

No Open Payments data available for this provider.

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Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

Educational use only—not medical, billing, or legal advice.

No Medicare enrollment or revalidation data available for this provider in our database.

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Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

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No Medicare fee-for-service utilization data available for this provider in our database.

Insurance plans in this area (ZIP 02061)

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Reviews

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Frequently asked questions

Does Unknown Individual share an NPI with anyone else?
NPI numbers are unique to each provider or organization — Unknown Individual uses 1316091465.
What dates should I check for Unknown Individual's activity?
We display what the registry publishes: Unknown Individual appears inactive there.
What is Unknown Individual's specialty?
The listing groups Unknown Individual with Obstetrics & Gynecology Physician. Clinical services aligned with this taxonomy classification.
What address line appears for Unknown Individual?
Unknown Individual's geographic hint is Norwell, Massachusetts in our summary view.
Is specialty guaranteed by NPI alone?
Taxonomy selections describe intent; scope of practice still follows state law.

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