Provider Demographics
NPI:1275737967
Name:NEARY & HUNTER OB/GYN LLC
Entity Type:Organization
Organization Name:NEARY & HUNTER OB/GYN LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:MANAGING PARTNER
Authorized Official - Prefix:
Authorized Official - First Name:TODD
Authorized Official - Middle Name:W
Authorized Official - Last Name:HUNTER
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:508-752-1491
Mailing Address - Street 1:67 BELMONT ST
Mailing Address - Street 2:SUITE 104
Mailing Address - City:WORCESTER
Mailing Address - State:MA
Mailing Address - Zip Code:01605-2657
Mailing Address - Country:US
Mailing Address - Phone:508-752-1491
Mailing Address - Fax:508-752-8192
Practice Address - Street 1:67 BELMONT ST
Practice Address - Street 2:SUITE 104
Practice Address - City:WORCESTER
Practice Address - State:MA
Practice Address - Zip Code:01605-2657
Practice Address - Country:US
Practice Address - Phone:508-752-1491
Practice Address - Fax:508-752-8192
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-06-14
Last Update Date:2012-06-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MA40319174400000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes174400000XOther Service ProvidersSpecialistGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
MA49463OtherFALLON GROUP NUMBER
MA68323OtherCIGNA GROUP NUMBER
MA9702211Medicaid
MA685829OtherTUFTS GROUP NUMBER
MAM17608OtherBCBS GROUP NUMBER
MA68323OtherCIGNA GROUP NUMBER
MA9702211Medicaid