Provider Demographics
NPI:1215227723
Name:O'LOUGHLIN, EIMEAR MARY (MD)
Entity Type:Individual
Prefix:DR
First Name:EIMEAR
Middle Name:MARY
Last Name:O'LOUGHLIN
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:77 HOSPITAL AVE.
Mailing Address - Street 2:SUITE #302
Mailing Address - City:NORTH ADAMS
Mailing Address - State:MA
Mailing Address - Zip Code:01247-2538
Mailing Address - Country:US
Mailing Address - Phone:413-663-8365
Mailing Address - Fax:413-662-2363
Practice Address - Street 1:77 HOSPITAL AVE.
Practice Address - Street 2:SUITE #302
Practice Address - City:NORTH ADAMS
Practice Address - State:MA
Practice Address - Zip Code:01247-2538
Practice Address - Country:US
Practice Address - Phone:413-663-8365
Practice Address - Fax:413-662-2363
Is Sole Proprietor?:No
Enumeration Date:2011-04-18
Last Update Date:2023-11-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MA258944208000000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208000000XAllopathic & Osteopathic PhysiciansPediatrics
Provider Identifiers
StateIdentifier IDID TypeIssuer
MA110162915AMedicaid