Provider Demographics
NPI:1508187568
Name:DR.JEFFREY P SATNICK MD PC
Entity Type:Organization
Organization Name:DR.JEFFREY P SATNICK MD PC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:DR
Authorized Official - First Name:JEFFREY
Authorized Official - Middle Name:PAUL
Authorized Official - Last Name:SATNICK
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:978-464-2466
Mailing Address - Street 1:45 STERLING STREET, SUITE 7
Mailing Address - Street 2:
Mailing Address - City:WEST BOYLSTON
Mailing Address - State:MA
Mailing Address - Zip Code:01583
Mailing Address - Country:US
Mailing Address - Phone:508-835-3777
Mailing Address - Fax:508-835-2277
Practice Address - Street 1:45 STERLING STREET, SUITE 7
Practice Address - Street 2:
Practice Address - City:WEST BOYLSTON
Practice Address - State:MA
Practice Address - Zip Code:01583
Practice Address - Country:US
Practice Address - Phone:508-835-3777
Practice Address - Fax:508-835-2277
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2010-06-14
Last Update Date:2019-05-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MA57588208D00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes208D00000XAllopathic & Osteopathic PhysiciansGeneral PracticeGroup - Single Specialty