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Individual

MICHEL LIRETTE

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
203 TURNPIKE STREET, SUITE 115, N ANDOVER, MA 01845
(978) 681-4505
(978) 681-4507
Mailing address
203 TURNPIKE STREET, SUITE 115, NORTH ANDOVER, MA 01845
(978) 681-4505
(978) 681-4507

Taxonomy

Speciality
Code
Description
License number
State
207V00000X
Obstetrics & Gynecology Physician
Primary
76941
MA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
0017405
NEIGHBORHOOD HEALTH PLAN
01
0100631Y0MA01
BLUE SHIELD
NH
01
043429157
TAX ID
01
0700834
UNITED HEALTH CARE
01
130002
HARVARD PILGRIM
01
2008823
AETNA US HEALTHCARE
01
3110541
MASS HEALTH
01
730461
TUFTS HEALTH PLAN
MA
01
730461
TUFTS
05
9784802
MA
01
981320
NETWORK HEALTH CARE
01
J13903
BLUE SHIELD
MA
01
M17018
BLUE SHIELD
MA
Enumeration date
04/06/2006
Last updated
01/26/2010
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