Provider Demographics
NPI:1619360294
Name:MULTILINGUAL HEALTH ALLIANCE - NORTH ANDOVER
Entity Type:Organization
Organization Name:MULTILINGUAL HEALTH ALLIANCE - NORTH ANDOVER
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:SECRETARY
Authorized Official - Prefix:DR
Authorized Official - First Name:JOSE
Authorized Official - Middle Name:R
Authorized Official - Last Name:BAEZ
Authorized Official - Suffix:
Authorized Official - Credentials:DO
Authorized Official - Phone:617-291-8669
Mailing Address - Street 1:203 TURNPIKE ST
Mailing Address - Street 2:SUITE G1
Mailing Address - City:NORTH ANDOVER
Mailing Address - State:MA
Mailing Address - Zip Code:01845-5042
Mailing Address - Country:US
Mailing Address - Phone:617-291-8669
Mailing Address - Fax:978-824-9360
Practice Address - Street 1:203 TURNPIKE ST
Practice Address - Street 2:SUITE G1
Practice Address - City:NORTH ANDOVER
Practice Address - State:MA
Practice Address - Zip Code:01845-5042
Practice Address - Country:US
Practice Address - Phone:617-291-8669
Practice Address - Fax:978-824-9360
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2015-03-06
Last Update Date:2015-06-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes261QP2300XAmbulatory Health Care FacilitiesClinic/CenterPrimary Care
No208VP0000XAllopathic & Osteopathic PhysiciansPain MedicinePain MedicineGroup - Multi-Specialty