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Organization
MERRIMACK VALLEY PET PC
Active
Organization
MERRIMACK VALLEY PET PC
Active
Other names
New England PET Imaging System
Organization subpart
No
Provider details
NPI number
Authorized official
MR. MARK R TAYLOR (CEO)
(978) 933-9311
Entity
Organization
Contact information
Practice address
70 EAST ST, METHUEN, MA 01844-4597
(978) 689-4738
(978) 682-0984
Mailing address
35 NEW ENGLAND BUSINESS CENTER DR STE 103, ANDOVER, MA 01810-1080
(978) 933-9311
(978) 933-7820
Taxonomy
Speciality
Code
Description
License number
State
261QR0200X
Radiology Clinic/Center
Primary
67-0291
MA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0021989
NEIGHBORHOOD HELATH
—
01
—
15Y002275MA02
BLUE CROSS OF NH
—
01
—
2330313
AETNA HMO
—
01
—
626241
HARVARD PILGRIM
—
01
—
685730
TUFTS
—
05
—
9723510
—
MA
01
—
M17506
BLUE CROSS OF MA
—
Enumeration date
05/25/2006
Last updated
01/16/2025
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