Unknown Individual – Family Medicine Physician, NPI 1669429395
Family Medicine Physician
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Profile Insights
NPPES metrics only — not quality of care.
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Provider Addresses for Unknown Individual
Market Basket, 696;698;700;750;774, Essex Street, Lawrence, Essex County, Massachusetts, 01840, United States
LAWRENCE, MA 018414396
Phone: (978) 689-2400
Fax: (678) 683-0663
Type: Location
696;698;700;750;774, Essex Street, Downtown Lawrence Historic District, Lawrence, Essex County, Massachusetts, 01840, United States
LAWRENCE, MA 018414396
Phone: (978) 689-2400
Fax: (978) 683-0663
Type: Mailing
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
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Medicare Enrollment & Revalidation
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No Medicare enrollment or revalidation data available for this provider in our database.
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Medicare Utilization (FFS)
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No Medicare fee-for-service utilization data available for this provider in our database.
Insurance plans in this area (ZIP 01841)
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Provider's Procedures
| Specialty | Practice State | HCPCS Code | Description | Service Count | Beneficiary Count |
|---|---|---|---|---|---|
| FAMILY MEDICINE | MA | 83036 | Hemoglobin A1C level | 26 | 15 |
Group practice members
| Name | Specialty | State |
|---|---|---|
| Physician Assistant | MA | |
| Internal Medicine | MA | |
| Physician Assistant | MA | |
| General Surgery | IL | |
| Physician Assistant | MA | |
| - | CT | |
| Nurse Practitioner | MA | |
| Internal Medicine, Addiction Medicine | MA | |
| Nurse Practitioner | MA | |
| Nurse Practitioner | MA |
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