Provider Demographics
NPI:1649284183
Name:MAUREEN NORMAN DO
Entity type:Organization
Organization Name:MAUREEN NORMAN DO
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:DR
Authorized Official - First Name:MAUREEN
Authorized Official - Middle Name:E
Authorized Official - Last Name:NORMAN
Authorized Official - Suffix:
Authorized Official - Credentials:DO
Authorized Official - Phone:781-648-2970
Mailing Address - Street 1:22 MILL ST
Mailing Address - Street 2:SUITE 109
Mailing Address - City:ARLINGTON
Mailing Address - State:MA
Mailing Address - Zip Code:02476-4784
Mailing Address - Country:US
Mailing Address - Phone:781-648-2970
Mailing Address - Fax:781-648-7077
Practice Address - Street 1:22 MILL ST
Practice Address - Street 2:SUITE 109
Practice Address - City:ARLINGTON
Practice Address - State:MA
Practice Address - Zip Code:02476-4784
Practice Address - Country:US
Practice Address - Phone:781-648-2970
Practice Address - Fax:781-648-7077
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-07-28
Last Update Date:2007-07-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily MedicineGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
MAM17684OtherBCBS
MA058301OtherTUFTS