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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

NPI # 1609872886
LBN Legal business name PENTUCKET MEDICAL ASSOCIATES, LLC
Authorized official THOMAS FAZIO - (MANAGING PARTNER)
Entity Organization
Organization subpart 1 No
Enumeration date 06/22/2005
Last updated 06/15/2011 - About 15 years ago
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
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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