Provider Demographics
NPI:1598806879
Name:ORANGE PULMONARY AND INTERNAL MEDICINE
Entity Type:Organization
Organization Name:ORANGE PULMONARY AND INTERNAL MEDICINE
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:DOCTOR
Authorized Official - Prefix:DR
Authorized Official - First Name:MOHSEN
Authorized Official - Middle Name:M
Authorized Official - Last Name:NORELDIN
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:978-544-1505
Mailing Address - Street 1:450 W RIVER ST
Mailing Address - Street 2:
Mailing Address - City:ORANGE
Mailing Address - State:MA
Mailing Address - Zip Code:01364-1435
Mailing Address - Country:US
Mailing Address - Phone:978-544-1505
Mailing Address - Fax:978-544-1554
Practice Address - Street 1:450 W RIVER ST
Practice Address - Street 2:
Practice Address - City:ORANGE
Practice Address - State:MA
Practice Address - Zip Code:01364-1435
Practice Address - Country:US
Practice Address - Phone:978-544-1505
Practice Address - Fax:978-544-1554
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-02-09
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MA152591207R00000X, 207RP1001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Not Answered207R00000XAllopathic & Osteopathic PhysiciansInternal MedicineGroup - Multi-Specialty
Not Answered207RP1001XAllopathic & Osteopathic PhysiciansInternal MedicinePulmonary DiseaseGroup - Multi-Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
M18853OtherBCBS
MA9749420Medicaid
MA9749420Medicaid
G78278Medicare UPIN