Provider Demographics
NPI:1316393630
Name:PULMONARY PRACTICE OF MERRIMACK VALLEY, P.C.
Entity Type:Organization
Organization Name:PULMONARY PRACTICE OF MERRIMACK VALLEY, P.C.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:BARRY
Authorized Official - Middle Name:M
Authorized Official - Last Name:PISICK
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:978-689-2247
Mailing Address - Street 1:565 TURNPIKE ST
Mailing Address - Street 2:STE 85
Mailing Address - City:NORTH ANDOVER
Mailing Address - State:MA
Mailing Address - Zip Code:01845-5922
Mailing Address - Country:US
Mailing Address - Phone:978-689-2247
Mailing Address - Fax:978-689-7305
Practice Address - Street 1:565 TURNPIKE ST
Practice Address - Street 2:STE 85
Practice Address - City:NORTH ANDOVER
Practice Address - State:MA
Practice Address - Zip Code:01845-5922
Practice Address - Country:US
Practice Address - Phone:978-689-2247
Practice Address - Fax:978-689-7305
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2016-05-05
Last Update Date:2016-05-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207RP1001XAllopathic & Osteopathic PhysiciansInternal MedicinePulmonary DiseaseGroup - Multi-Specialty
No207R00000XAllopathic & Osteopathic PhysiciansInternal MedicineGroup - Multi-Specialty
No207RC0200XAllopathic & Osteopathic PhysiciansInternal MedicineCritical Care MedicineGroup - Multi-Specialty