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Organization
EATON MEDICAL ASSOCIATES PLLC
Active
Organization
EATON MEDICAL ASSOCIATES PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. ANTHONY GIBRAN EATON M.D, (OWNER)
(978) 973-2740
Entity
Organization
Contact information
Practice address
87 JACKSON ST, METHUEN, MA 01844-5044
(978) 208-4756
(978) 685-5950
Mailing address
87 JACKSON ST, METHUEN, MA 01844-5044
(978) 208-4756
(978) 685-5950
Taxonomy
Speciality
Code
Description
License number
State
208D00000X
General Practice Physician
Primary
—
NULL
208D00000X
General Practice Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
2061546
—
MA
01
—
469196
TUFTS HEALTH PLAN
MA
01
—
AA13929
HARVARD PILGRIM HEALTHCARE
MA
01
—
J27682
BLUE CROSS BLUE SHIELD
MA
Enumeration date
02/19/2009
Last updated
04/29/2016
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