Provider Demographics
NPI:1932205382
Name:THYRESSON, NILS HAKAN (MD)
Entity Type:Individual
Prefix:DR
First Name:NILS
Middle Name:HAKAN
Last Name:THYRESSON
Suffix:
Gender:M
Credentials:MD
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Mailing Address - Street 1:401 ANDOVER ST
Mailing Address - Street 2:SUITE 101
Mailing Address - City:NORTH ANDOVER
Mailing Address - State:MA
Mailing Address - Zip Code:01845-5076
Mailing Address - Country:US
Mailing Address - Phone:978-691-5690
Mailing Address - Fax:978-691-5693
Practice Address - Street 1:MERRIMACK MEDICAL CENTER @ MERRIMACK VALLEY HOSPITAL
Practice Address - Street 2:62 BROWN STREET, SUITE 301
Practice Address - City:HAVERHILL
Practice Address - State:MA
Practice Address - Zip Code:01810
Practice Address - Country:US
Practice Address - Phone:978-374-6770
Practice Address - Fax:978-374-1746
Is Sole Proprietor?:No
Enumeration Date:2006-09-15
Last Update Date:2013-05-16
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
MA45989207N00000X
ME014210207N00000X
NH6318207N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207N00000XAllopathic & Osteopathic PhysiciansDermatology
Provider Identifiers
StateIdentifier IDID TypeIssuer
MA93608OtherAETNA
MA4306OtherHARVARD
ME047259OtherANTHEM MAINE
MA045989OtherTUFTS
NH0105724Y0NH01OtherANTHEM NEW HAMPSHIRE
MA070007723OtherMEDICARE RAILROAD
MAD11119OtherBCBS MASSACHUSETTS
MAD11119OtherBCBS MASSACHUSETTS
MAD11119Medicare PIN
MEME0440Medicare PIN
MA045989OtherTUFTS