Organization Name: | NORTHEAST HEALTHCARE SYSTEM |
NPI Number: | 1063680296 |
Entity Type Code: | Organizational (2) |
Authorized Official Name: | BRIAN GERALD ORR (PEDIATRICIAN) |
Mailing Address: | 32 Leslie O Johnson Rd Gloucester |
State: | MA US |
Postal Code: | 019302500 |
Phone Number: | 9782813901 |
Fax Number: | |
NPI Enumeration Date: | 02/11/2008 |
NPI Last Update Date: | 02/11/2008 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 282NC2000X |
License Number: | 262899 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | MA |
Taxonomy Type: | Hospitals |
Taxonomy Classification: | General Acute Care Hospital |
Taxonomy Specialization: | Children |
Taxonomy Definition: |