Provider Demographics
NPI:1851498166
Name:INTERNAL MEDICINE PHYSICIANS OF THE NORTH SHORE
Entity Type:Organization
Organization Name:INTERNAL MEDICINE PHYSICIANS OF THE NORTH SHORE
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:BILLING MANAGER
Authorized Official - Prefix:
Authorized Official - First Name:SALLY
Authorized Official - Middle Name:
Authorized Official - Last Name:PAPI
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:978-531-7677
Mailing Address - Street 1:27 CENTENNIAL DR
Mailing Address - Street 2:
Mailing Address - City:PEABODY
Mailing Address - State:MA
Mailing Address - Zip Code:01960-7901
Mailing Address - Country:US
Mailing Address - Phone:978-531-7677
Mailing Address - Fax:978-531-7690
Practice Address - Street 1:27 CENTENNIAL DR
Practice Address - Street 2:
Practice Address - City:PEABODY
Practice Address - State:MA
Practice Address - Zip Code:01960-7901
Practice Address - Country:US
Practice Address - Phone:978-531-7677
Practice Address - Fax:978-531-7690
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-09-20
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal MedicineGroup - Multi-Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
MAM18639OtherBCBS
MA698187OtherTUFTS
MAM18639OtherBCBS
MAM21476Medicare ID - Type Unspecified