Shawsheen Medical Asso Pc

LBN: Shawsheen Medical Asso Pc
Shawsheen Medical Asso Pc is an health care organization with primary practice located at 28 Andover St , Andover MA 01810. The organization recently has only one registered license in Allopathic & Osteopathic Physicians / Internal Medicine, which is considered as the primary health care specialty. Shawsheen Medical Asso Pc can be contacted via phone (978) 475-8989, or through Tenney, Suetta via phone (978) 475-8886.

Contact Information

Primary practice address
28 Andover St Andover MA 01810
Phone: (978) 475-8989
Fax: (978) 475-8886
Website:
Map and Directions
Authorized official contact:
Name: Tenney, Suetta Doctor of Medicine (MD)
Phone: (978) 475-8886

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Internal Medicine 207R00000X

Profile Details

NPI number 1891861175
LBN Legal business name Shawsheen Medical Asso Pc
DBA Doing business as
Authorized official Tenney, Suetta Doctor of Medicine (MD)
Entity Organization
Organization subpart 1 No
Enumeration date Nov 28th, 2006
Last updated Aug 22nd, 2020 - about 6 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1891861175 NPPES
Other 54177 FULLON
Other C0193 FULLON
MEDICAID 9711180 FULLON
Other M17815 FULLON
Other SHAW119181 FULLON

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