Organization
PIONEER MEDICAL CENTER
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. MARK J MESSENGER M.D. (OWNER PHYSICIAN)
(978) 745-9449
Entity
Organization
Contact information
Practice address
505 PARADISE RD, SWAMPSCOTT, MA 01907-1335
(978) 745-9449
(978) 741-3150
Mailing address
505 PARADISE RD, SWAMPSCOTT, MA 01907-1335
(978) 745-9449
(978) 741-3150
Taxonomy
Speciality
Code
Description
License number
State
207RG0300X
Geriatric Medicine (Internal Medicine) Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
9075740
—
MA
01
—
M17693
BLUE SHIELD GROUP NUMBER
MA
Enumeration date
04/09/2007
Last updated
12/15/2007
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