# EATON MEDICAL ASSOCIATES PLLC

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

## Provider details

- **NPI number:** 1699914325
- **Authorized official:** DR. ANTHONY GIBRAN EATON M.D, (OWNER)
- **Authorized official phone:** (978) 973-2740

## Contact information

- **Practice address:** 87 JACKSON ST, METHUEN, MA 01844-5044
- **Practice address phone:** (978) 208-4756
- **Practice address fax:** (978) 685-5950
- **Mailing address:** 87 JACKSON ST, METHUEN, MA 01844-5044
- **Mailing address phone:** (978) 208-4756
- **Mailing address fax:** (978) 685-5950

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 208D00000X | General Practice Physician | — | NULL | Yes |
| 208D00000X | General Practice Physician | — | — | Yes |

## Other

- **Enumeration date:** 02/19/2009
- **Last updated:** 04/29/2016

## 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 |