Organization
ANNA JAQUES INPATIENT SERVICES
Active
Organization
ANNA JAQUES INPATIENT SERVICES
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. GREGORY BYRNE (MD)
(214) 712-2403
Entity
Organization
Contact information
Practice address
25 HIGHLAND AVE, NEWBURYPORT, MA 01950-3867
(978) 463-1000
Mailing address
1717 MAIN ST, SUITE 5200, DALLAS, TX 75201-4612
(214) 712-2403
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
N/A
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
9717820
—
MA
01
—
M18259
BLUE SHIELD
MA
Enumeration date
08/12/2006
Last updated
04/20/2008
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