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Contact Information

ELIZABETH M LIDSTONE JAYANATH, MD
175 CONNORS STREET
GARDER, MA01440
 Phone: 978-410-6100
 Fax: 978-410-6109
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Pediatrics

208000000X 37 Physician/Pediatric Medicine
Indicates primary specialty

NPI Profile & details for ELIZABETH M LIDSTONE JAYANATH · (Female)

NPI Number 1124000294
Status Active
Credentials MD
Entity Individual
Enumeration date 11/15/2005
Last updated 11/16/2015 - About 11 years ago
Sole proprietor 1 No
Identifiers
  • MA License # 156974
  • MA Medicaid 3188787
  • Other 7575320 AETNA/US HEALTHCARE
  • Other J19766 BLUE CARE ELECT
  • Other J19766 BLUE SHIELD HMO BLUE
  • Other J19766 BLUE SHIELD INDEMNITY
  • Other 33367 CHILDRENS MED SECURITY PL
  • Other 7521481 CIGNA HEALTH PLAN
  • Other 42389 FALLON COMMUNITY HLTH PL
  • Other 1836498 FIRST HEALTH
  • Other AA1277 HARVARD PILGRIM HEALTHCAR
  • Other 042472266 HEALTHCARE VALUE MNGMENT
  • Other 33367 HEALTHY START
  • Other 3188787 MEDICAID PCC
  • Other 3188787 MEDICAID/WELFARE
  • Other A29170 MEDICARE B
  • Other 784154 MVP HEALTH CARE
  • Other 042472266 ONE HEALTH PLAN
  • Other 042472266 PRIVATE HEALTHCARE SYSTEM
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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