National Provider Identifier Database

NORTHEAST HEALTHCARE SYSTEM
Children


Contact Information

NORTHEAST HEALTHCARE SYSTEM
32 LESLIE O JOHNSON RD
GLOUCESTER, MA01930-2500
Phone: 978-281-3901
Fax:
Website:
Specialty Taxonomy Code
* Children 282NC2000X

* Indicates primary specialty

NPI Profile & details for NORTHEAST HEALTHCARE SYSTEM

NPI Number 1063680296
Legal business name
LBN
NORTHEAST HEALTHCARE SYSTEM
Authorized official BRIAN ORR - (PEDIATRICIAN)
Entity Organization
Organization subpart No
Enumeration date 02/11/2008
Last updated 02/11/2008 - About 18 years ago
Sole proprietor1 Not specified
Identifiers
  • MA License #: 262899

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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