Provider Demographics
NPI:1235794041
Name:NORTH ANDOVER WOMEN'S CARE PLLC
Entity Type:Organization
Organization Name:NORTH ANDOVER WOMEN'S CARE PLLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:MICHELLE
Authorized Official - Middle Name:ANN
Authorized Official - Last Name:ROTTER
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:978-688-9979
Mailing Address - Street 1:100 ANDOVER BYPASS, SUITE 300
Mailing Address - Street 2:
Mailing Address - City:NORTH ANDOVER
Mailing Address - State:MA
Mailing Address - Zip Code:01845
Mailing Address - Country:US
Mailing Address - Phone:974-868-8997
Mailing Address - Fax:978-688-7727
Practice Address - Street 1:100 ANDOVER BYPASS, SUITE 300
Practice Address - Street 2:
Practice Address - City:NORTH ANDOVER
Practice Address - State:MA
Practice Address - Zip Code:01845
Practice Address - Country:US
Practice Address - Phone:974-868-8997
Practice Address - Fax:978-688-7727
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2019-05-07
Last Update Date:2019-05-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207V00000XAllopathic & Osteopathic PhysiciansObstetrics & GynecologyGroup - Single Specialty