Provider Demographics
NPI:1447232046
Name:NOROIAN, GARY O (MD)
Entity Type:Individual
Prefix:
First Name:GARY
Middle Name:O
Last Name:NOROIAN
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
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Mailing Address - Street 1:PO BOX 415348
Mailing Address - Street 2:
Mailing Address - City:BOSTON
Mailing Address - State:MA
Mailing Address - Zip Code:02241-5348
Mailing Address - Country:US
Mailing Address - Phone:800-225-8885
Mailing Address - Fax:508-334-1977
Practice Address - Street 1:50 MEMORIAL DR
Practice Address - Street 2:
Practice Address - City:LEOMINSTER
Practice Address - State:MA
Practice Address - Zip Code:01453-2238
Practice Address - Country:US
Practice Address - Phone:978-466-4535
Practice Address - Fax:978-466-4537
Is Sole Proprietor?:No
Enumeration Date:2005-11-18
Last Update Date:2021-05-03
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
MA160437207RN0300X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RN0300XAllopathic & Osteopathic PhysiciansInternal MedicineNephrology
Provider Identifiers
StateIdentifier IDID TypeIssuer
0156850OtherMEDICAID WELFARE
J22273OtherBLUE CARE ELECT
MA110004663AMedicaid
AA4014OtherHARVARD PILGRIM HEALTHCAR
J22273OtherBLUE SHIELD HMO BLUE
A32990OtherMEDICARE B
J22273OtherBLUE SHIELD INDEMNITY
0156850OtherMEDICAID WELFARE
042472266OtherONE HEALTH PLAN
042472266OtherTHREE RIVERS
3100012OtherEVERCARE
784061OtherMVP HEALTH CARE
7975394OtherAETNA US HEALTHCARE
9149582OtherCIGNA PAL ID
AA4014OtherHARVARD PILGRIM HEALTHCAR
042472266OtherHEALTHCARE VALUE MGMT
042472266OtherPRIVATE HEALTHCARE SYSTEM
042472266OtherTRICARE CHAMPUS
AA4014OtherHARVARD PILGRIM HEALTHCAR
1973724OtherFIRST HEALTH