Provider Demographics
NPI:1952173676
Name:MERRIMACK THORACIC AND ESOPHAGEAL SURGERY PLLC
Entity Type:Organization
Organization Name:MERRIMACK THORACIC AND ESOPHAGEAL SURGERY PLLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:PARESH
Authorized Official - Middle Name:
Authorized Official - Last Name:MANE
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:857-939-0737
Mailing Address - Street 1:4 INWOOD LN
Mailing Address - Street 2:
Mailing Address - City:ANDOVER
Mailing Address - State:MA
Mailing Address - Zip Code:01810-6302
Mailing Address - Country:US
Mailing Address - Phone:857-939-0475
Mailing Address - Fax:
Practice Address - Street 1:4 INWOOD LN
Practice Address - Street 2:
Practice Address - City:ANDOVER
Practice Address - State:MA
Practice Address - Zip Code:01810-6302
Practice Address - Country:US
Practice Address - Phone:857-939-0475
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2023-10-25
Last Update Date:2023-10-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes208600000XAllopathic & Osteopathic PhysiciansSurgeryGroup - Multi-Specialty