Organization
MAESTRO OUTREACH MEDICAL SERVICES, LLC
Active
Organization
MAESTRO OUTREACH MEDICAL SERVICES, LLC
Active
Parent organization
MAESTRO-CONNECTIONS HEALTH SYSTEMS, LLC
Organization subpart
Yes
Provider details
NPI number
Legal business name
MAESTRO-CONNECTIONS HEALTH SYSTEMS, LLC
Authorized official
GEORGE M KIONGERA NP (PRESIDENT & CHIEF EXECUTIVE OFFICER)
(978) 973-3749
Entity
Organization
Contact information
Practice address
439 S UNION ST, BUILDING 2, SUITE # 107, LAWRENCE, MA 01843-2837
(978) 794-1158
(978) 794-1507
Mailing address
439 S UNION ST, BUILDING 2, SUITE # 107, LAWRENCE, MA 01843-2837
(978) 794-1158
(978) 794-1507
Taxonomy
Speciality
Code
Description
License number
State
207QA0401X
Addiction Medicine (Family Medicine) Physician
—
—
207QA0505X
Adult Medicine Physician
—
—
207QG0300X
Geriatric Medicine (Family Medicine) Physician
Primary
—
—
208D00000X
General Practice Physician
—
—
363AM0700X
Medical Physician Assistant
—
—
363L00000X
Nurse Practitioner
—
—
363LA2200X
Adult Health Nurse Practitioner
—
—
363LF0000X
Family Nurse Practitioner
—
—
363LG0600X
Gerontology Nurse Practitioner
—
—
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
—
—
363LP2300X
Primary Care Nurse Practitioner
—
—
364SA2200X
Adult Health Clinical Nurse Specialist
—
—
364SP0808X
Psychiatric/Mental Health Clinical Nurse Specialist
—
—
364SP0809X
Adult Psychiatric/Mental Health Clinical Nurse Specialist
—
—
364SP0811X
Chronically Ill Psychiatric/Mental Health Clinical Nurse Specialist
—
—
Other
Enumeration date
12/22/2010
Last updated
12/27/2010
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