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Contact Information

VEIN SPECIALISTS OF THE NORTH SHORE LLC
100 CUMMINGS CENTER
SUITE 110E
BEVERLY, MA01915
 Phone: 978-922-8346
 Fax: 978-922-8345
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Vascular & Interventional Radiology

2085R0204X 94 Physician/Interventional Radiology
Indicates primary specialty

NPI Profile & details for VEIN SPECIALISTS OF THE NORTH SHORE LLC · (Female)

NPI # 1174630545
Status Active
Credentials
Entity Individual
Enumeration date 08/23/2006
Last updated 04/19/2011 - About 15 years ago
Sole proprietor 1 Not specified
Identifiers
  • MA Medicaid 110069857A
  • MA Medicaid 9738631
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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