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Contact Information

PENTUCKET MEDICAL ASSOCIATES, LLC
ONE PARKWAY
HAVERHILL, MA01830
 Phone: 978-521-3200
 Fax: 978-469-5363
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Internal Medicine

207R00000X 11 Physician/Internal Medicine
 

Adolescent Medicine

2080A0000X 37 Physician/Pediatric Medicine
 

Allergy

207KA0200X 03 Physician/Allergy/ Immunology
 

Cardiovascular Disease

207RC0000X 11 Physician/Internal Medicine
 

Endocrinology, Diabetes & Metabolism

207RE0101X 11 Physician/Internal Medicine
 

Family Medicine

207Q00000X 08 Physician/Family Practice
 

Gastroenterology

207RG0100X 10 Physician/Gastroenterology
 

Geriatric Medicine

207RG0300X 11 Physician/Internal Medicine
 

Geriatric Medicine

207QG0300X 08 Physician/Family Practice
 

Infectious Disease

207RI0200X 11 Physician/Internal Medicine
 

Interventional Cardiology

207RI0011X 11 Physician/Internal Medicine
 

Nephrology

207RN0300X 11 Physician/Internal Medicine
 

Nuclear Cardiology

207UN0901X 36 Physician/Nuclear Medicine
 

Pediatrics

208000000X 37 Physician/Pediatric Medicine
 

Pulmonary Disease

207RP1001X 11 Physician/Internal Medicine
Indicates primary specialty

NPI Profile & details for PENTUCKET MEDICAL ASSOCIATES LLC · (Female)

NPI Number 1609872886
Status Active
Credentials
Entity Individual
Enumeration date 06/22/2005
Last updated 06/15/2011 - About 15 years ago
Sole proprietor 1 Not specified
Identifiers
  • MA Medicaid 9786376
  • Other 5313652 AETNA
  • MA Other M17320 BCBS
  • MA Other 0018028 NEIGHBORHOOD HEALTH PLAN
  • MA Other 681017 TUFTS
  • NH Other 30210443 NH MEDICAID
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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