Provider Demographics
NPI:1467594101
Name:NORTH ANDOVER PEDIATRIC ASSOCIATES
Entity Type:Organization
Organization Name:NORTH ANDOVER PEDIATRIC ASSOCIATES
Other - Org Name:WOBURN PEDIATRIC ASSOCIATES
Other - Org Type:Doing Business As
Authorized Official - Title/Position:BILLING MANAGER
Authorized Official - Prefix:
Authorized Official - First Name:CAROL
Authorized Official - Middle Name:
Authorized Official - Last Name:MCELENEY
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:781-638-1024
Mailing Address - Street 1:820A TURNPIKE ST
Mailing Address - Street 2:JEFFERSON OFFICE PARK
Mailing Address - City:NORTH ANDOVER
Mailing Address - State:MA
Mailing Address - Zip Code:01845-6124
Mailing Address - Country:US
Mailing Address - Phone:978-557-5712
Mailing Address - Fax:978-557-5406
Practice Address - Street 1:820A TURNPIKE ST
Practice Address - Street 2:JEFFERSON OFFICE PARK
Practice Address - City:NORTH ANDOVER
Practice Address - State:MA
Practice Address - Zip Code:01845-6124
Practice Address - Country:US
Practice Address - Phone:978-557-5712
Practice Address - Fax:978-557-5406
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-02-12
Last Update Date:2008-06-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes208000000XAllopathic & Osteopathic PhysiciansPediatricsGroup - Single Specialty