Provider Demographics
NPI:1932290202
Name:PLISKIN & SPIRITO ASSOCIATES PC
Entity Type:Organization
Organization Name:PLISKIN & SPIRITO ASSOCIATES PC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:DORIS
Authorized Official - Middle Name:
Authorized Official - Last Name:PLISKIN
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:978-458-4300
Mailing Address - Street 1:PO BOX 2200
Mailing Address - Street 2:
Mailing Address - City:AMHERST
Mailing Address - State:NH
Mailing Address - Zip Code:03031-4200
Mailing Address - Country:US
Mailing Address - Phone:603-673-9411
Mailing Address - Fax:603-673-9899
Practice Address - Street 1:33 BARTLETT ST
Practice Address - Street 2:
Practice Address - City:LOWELL
Practice Address - State:MA
Practice Address - Zip Code:01852-1334
Practice Address - Country:US
Practice Address - Phone:978-458-4300
Practice Address - Fax:978-458-4311
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-09-28
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes208600000XAllopathic & Osteopathic PhysiciansSurgeryGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
MAM13468OtherBLUE CROSS BLUE SHIELD
MA51240OtherFALLON COMMUNITH HEALTH
MA9722262Medicaid
MA689154OtherTUFTS HEALTH PLAN
MA9722262Medicaid
MACI8852Medicare ID - Type UnspecifiedRAILROAD MEDICARE