Organization
CHILDREN'S MEDICAL OFFICE OF NORTH ANDOVER, PC
Active
Other names
Children's Medical Office
Organization subpart
No
Provider details
NPI number
Authorized official
MS. GAIL ANSEL (BUSINESS MANAGER)
(978) 975-3355
Entity
Organization
Contact information
Practice address
477 ANDOVER ST, NORTH ANDOVER, MA 01845-5036
(978) 975-3355
Mailing address
477 ANDOVER ST, NORTH ANDOVER, MA 01845-5036
(978) 975-3355
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
30210526
—
NH
01
—
36117
FALLON COMMUNITY HEALTH P
MA
01
—
717523
TUFTS HEALTH PLAN
MA
01
—
731931
UNITED HEALTH CARE
MA
01
—
82573
AETNA HEALTH CARE
MA
01
—
97505301
NETWORK HEALTH PLAN
MA
05
—
9770801
—
MA
01
—
M15683
BLUE CROSS BLUE SHIELD
MA
Enumeration date
06/10/2006
Last updated
08/22/2020
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