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Organization
PRIMARY CARE NORTH PC
Active
Organization
PRIMARY CARE NORTH PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
WALTER J NALESNIK MD (OWNER)
(781) 595-9581
Entity
Organization
Contact information
Practice address
225 BOSTON ST, SUITE 204, LYNN, MA 01904-3137
(781) 595-9581
(781) 595-9628
Mailing address
225 BOSTON ST, SUITE 204, LYNN, MA 01904-3137
(781) 595-9581
(781) 595-9628
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
53680
MA
261QP2300X
Primary Care Clinic/Center
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0400048
UNITED
MD
01
—
65494
HPHC
MA
01
—
703505
TUFTS
MD
01
—
80744
FALLON
MA
01
—
9037
US HEALTH
MA
05
—
9705121
—
MA
01
—
B1002301
CIGNA
MD
01
—
J04507
BCBS
MA
Enumeration date
04/04/2007
Last updated
12/30/2021
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