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Contact Information

MAESTRO OUTREACH MEDICAL SERVICES, LLC
439 S UNION ST
BUILDING 2, SUITE # 107
LAWRENCE, MA01843-2837
 Phone: 978-794-1158
 Fax: 978-794-1507
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Geriatric Medicine

207QG0300X 08 Physician/Family Practice
 

Addiction Medicine

207QA0401X 08 Physician/Family Practice
 

Adult Health

364SA2200X 89 Certified Clinical Nurse Specialist
 

Adult Health

363LA2200X 50 Nurse Practitioner
 

Adult Medicine

207QA0505X 08 Physician/Family Practice
 

Family

363LF0000X 50 Nurse Practitioner
 

General Practice

208D00000X 99 Physician/Undefined Physician type[6]
 

Gerontology

363LG0600X 50 Nurse Practitioner
 

Medical

363AM0700X 97 Physician Assistant
 

Nurse Practitioner

363L00000X 50 Nurse Practitioner
 

Primary Care

363LP2300X 50 Nurse Practitioner
 

Psychiatric/Mental Health

364SP0808X 89 Certified Clinical Nurse Specialist
 

Psychiatric/Mental Health

363LP0808X 50 Nurse Practitioner
 

Psychiatric/Mental Health, Adult

364SP0809X 89 Certified Clinical Nurse Specialist
 

Psychiatric/Mental Health, Chronically Ill

364SP0811X 89 Certified Clinical Nurse Specialist
Indicates primary specialty

NPI Profile & details for MAESTRO OUTREACH MEDICAL SERVICES, LLC

NPI Number 1225332885
LBN Legal business name MAESTRO OUTREACH MEDICAL SERVICES, LLC
Authorized official GEORGE KIONGERA - (PRESIDENT & CHIEF EXECUTIVE OFFICER)
Entity Organization
Organization subpart 1 Yes
Enumeration date 12/22/2010
Last updated 12/27/2010 - About 15 years ago
Identifiers n/a
1 Some organization health care providers are made up of components that furnish different types of health care or have separate physical locations where health care is furnished. These components and physical locations are not themselves legal entities, but are part of the organization health care provider (which is a legal entity). A covered organization provider may decide that its subparts (if it has any) should have their own NPI numbers. If a subpart conducts any HIPAA standard transactions on its own (e.g., separately from its parent), it must obtain its own NPI number.

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