Organization
MEDICAL ASSOCIATES OF SAUGUS PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JOHN V GANDOLFO MD (PRESIDENT)
(978) 536-7778
Entity
Organization
Contact information
Practice address
ONE ROOSEVELT AVENUE SUITE 204, MEDICAL ASSOCIATES OF SAUGUS, PEABODY, MA 01960
(978) 536-7778
(978) 536-2998
Mailing address
ONE ROOSEVELT AVENUE SUITE 204, MEDICAL ASSOCIATES OF SAUGUS, PEABODY, MA 01960
(978) 536-7778
(978) 536-2998
Taxonomy
Speciality
Code
Description
License number
State
207RG0100X
Gastroenterology Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
685660
TOFTS HEALTH PLANS MA
—
05
—
9701133
—
MA
01
—
M17573
BLUE SHIELD OF MA
—
Enumeration date
11/01/2006
Last updated
05/19/2011
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