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Contact Information

ERICKSON HEALTH MEDICAL GROUP OF MASSACHUSETTS PC
100 BROOKSBY VILLAGE DR
PEABODY, MA01960-1438
 Phone: 978-536-7850
 Fax: 978-536-7051
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Internal Medicine

207R00000X 11 Physician/Internal Medicine
 

Adult Health

363LA2200X 50 Nurse Practitioner
 

Family Medicine

207Q00000X 08 Physician/Family Practice
 

Geriatric Medicine

207QG0300X 08 Physician/Family Practice
 

Geriatric Medicine

207RG0300X 11 Physician/Internal Medicine
 

Gerontology

363LG0600X 50 Nurse Practitioner
 

Gerontology

364SG0600X 89 Certified Clinical Nurse Specialist
 

Podiatrist

213E00000X 48 Podiatry
 

Psychiatric/Mental Health

364SP0808X 89 Certified Clinical Nurse Specialist
Indicates primary specialty

NPI Profile & details for ERICKSON HEALTH MEDICAL GROUP OF MASSACHUSETTS PC · (Female)

NPI Number 1164442919
Status Active
Credentials
Entity Individual
Enumeration date 07/21/2006
Last updated 08/10/2023 - About 3 years ago
Sole proprietor 1 Not specified
Identifiers
  • MA Medicaid 9731610
  • Other M17596 BCBS
  • Other 1427124015 BCBS OF MA
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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