Organization
NORTHEAST EMERGENCY ASSOCIATES, P.C.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. DONALD PASQUARELLO M.D. (PRESIDENT)
(978) 922-3000
Entity
Organization
Contact information
Practice address
85 HERRICK ST, BEVERLY, MA 01915-1790
(978) 922-3000
Mailing address
85 HERRICK ST, BEVERLY, MA 01915-1790
(978) 922-3000
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1675280
CIGNA HEALTH CARE
MA
01
—
J21837
BLUE SHIELD MA IND PROV#
MA
Enumeration date
10/24/2006
Last updated
08/22/2020
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