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Organization
CHILDREN'S MEDICAL OFFICE OF NORTH ANDOVER, PC
Active
Organization
CHILDREN'S MEDICAL OFFICE OF NORTH ANDOVER, PC
Active
Other names
Children's Medical Office
Organization subpart
No
Provider details
NPI number
Authorized official
MS. GAIL ANSEL (BUSINESS MANAGER)
(978) 975-3355
Entity
Organization
Contact information
Practice address
477 ANDOVER ST, NORTH ANDOVER, MA 01845-5036
(978) 975-3355
Mailing address
477 ANDOVER ST, NORTH ANDOVER, MA 01845-5036
(978) 975-3355
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
30210526
—
NH
01
—
36117
FALLON COMMUNITY HEALTH P
MA
01
—
717523
TUFTS HEALTH PLAN
MA
01
—
731931
UNITED HEALTH CARE
MA
01
—
82573
AETNA HEALTH CARE
MA
01
—
97505301
NETWORK HEALTH PLAN
MA
05
—
9770801
—
MA
01
—
M15683
BLUE CROSS BLUE SHIELD
MA
Enumeration date
06/10/2006
Last updated
08/22/2020
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