Organization
HEYWOOD MEDICAL GROUP INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
THOMAS J SULLIVAN (CEO)
(978) 630-6157
Entity
Organization
Contact information
Practice address
242 GREEN ST, GARDNER, MA 01440-1336
(978) 630-5076
(978) 630-5079
Mailing address
242 GREEN ST, GARDNER, MA 01440-1336
(978) 630-5072
(978) 630-5079
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
—
—
207Q00000X
Family Medicine Physician
—
MA
207R00000X
Internal Medicine Physician
—
MA
207RC0000X
Cardiovascular Disease Physician
—
MA
207RG0100X
Gastroenterology Physician
—
—
207RH0003X
Hematology & Oncology Physician
—
—
207RP1001X
Pulmonary Disease Physician
—
—
207V00000X
Obstetrics & Gynecology Physician
—
—
207X00000X
Orthopaedic Surgery Physician
—
—
208000000X
Pediatrics Physician
—
—
2084N0400X
Neurology Physician
—
—
208800000X
Urology Physician
238888
MA
208D00000X
General Practice Physician
Primary
—
MA
363L00000X
Nurse Practitioner
—
—
363LF0000X
Family Nurse Practitioner
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
9768688
—
MA
Enumeration date
09/29/2005
Last updated
06/08/2023
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