Provider Demographics
NPI:1164809265
Name:TURNER MEDICAL GROUP
Entity Type:Organization
Organization Name:TURNER MEDICAL GROUP
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:DR
Authorized Official - First Name:JOHN
Authorized Official - Middle Name:L
Authorized Official - Last Name:TURNER
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:781-812-2880
Mailing Address - Street 1:571 MAIN ST
Mailing Address - Street 2:SECOND FLOOR
Mailing Address - City:SOUTH WEYMOUTH
Mailing Address - State:MA
Mailing Address - Zip Code:02190-1843
Mailing Address - Country:US
Mailing Address - Phone:781-812-2880
Mailing Address - Fax:781-803-6142
Practice Address - Street 1:571 MAIN ST
Practice Address - Street 2:SECOND FLOOR
Practice Address - City:SOUTH WEYMOUTH
Practice Address - State:MA
Practice Address - Zip Code:02190-1843
Practice Address - Country:US
Practice Address - Phone:781-812-2880
Practice Address - Fax:781-803-6142
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2015-04-28
Last Update Date:2015-11-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MA53547207R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal MedicineGroup - Single Specialty