Individual
EILEEN C HALEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
2 ESSEX DR, INTERNAL MEDICINE, PEABODY, MA 01960-2902
(978) 532-2800
(978) 977-4492
Mailing address
147 MILK ST, PROVIDER ENROLLMENT - 9TH FLOOR, BOSTON, MA 02109-4806
(617) 559-8374
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
45101
MA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0016138
NEIGHBORHOOD HEALTH
MA
01
—
045101
TUFTS
MA
05
—
3094871
—
MA
01
—
3214508
AETNA
MA
01
—
5630495-001
CIGNA
MA
01
—
64494
HARVARD PILGRIM
MA
01
—
J12026
BLUE CROSS
MA
Enumeration date
05/04/2006
Last updated
06/08/2011
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