# NEVILLE MEDICAL ASSOCIATES INC. PC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1336266832
- **Authorized official:** DR. RAJU NEVILLE NAVARATNAM M.D. (PRESIDENT)
- **Authorized official phone:** (978) 475-4197

## Contact information

- **Practice address:** 100 FRANKLIN ST, LAWRENCE, MA 01840-1132
- **Practice address phone:** (978) 682-8343
- **Practice address fax:** (978) 682-8343
- **Mailing address:** 19 ALGONQUIN AVE, ANDOVER, MA 01810-5527
- **Mailing address phone:** (978) 475-4197
- **Mailing address fax:** (978) 682-8343

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 261Q00000X | Clinic/Center | 74287 | MA | Yes |

## Other

- **Enumeration date:** 03/22/2007
- **Last updated:** 01/31/2011

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 05 | — | 9768041 | — | MA |