Organization
MERRIMACK VALLEY FAMILY PRACTICE
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ROBERT C HERRON (DOCTOR)
(978) 470-1616
Entity
Organization
Contact information
Practice address
140 HAVERHILL ST, ANDOVER, MA 01810-1550
(978) 470-1616
Mailing address
140 HAVERHILL ST, ANDOVER, MA 01810-1550
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
155027
MA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
893216
TUFTS
MA
05
—
9709797
—
MA
01
—
M17889
BCBS OF MASS
MA
Enumeration date
07/29/2006
Last updated
08/22/2020
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