Provider Demographics
NPI:1952527939
Name:RICHARD N WARNOCK, MD, PC
Entity type:Organization
Organization Name:RICHARD N WARNOCK, MD, PC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OFFICE MANAGER
Authorized Official - Prefix:
Authorized Official - First Name:DIANNE
Authorized Official - Middle Name:
Authorized Official - Last Name:DROUIN
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:978-686-6464
Mailing Address - Street 1:200 SUTTON ST
Mailing Address - Street 2:SUITE 120
Mailing Address - City:NORTH ANDOVER
Mailing Address - State:MA
Mailing Address - Zip Code:01845-1656
Mailing Address - Country:US
Mailing Address - Phone:
Mailing Address - Fax:
Practice Address - Street 1:200 SUTTON ST
Practice Address - Street 2:SUITE 120
Practice Address - City:NORTH ANDOVER
Practice Address - State:MA
Practice Address - Zip Code:01845-1656
Practice Address - Country:US
Practice Address - Phone:978-686-6464
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-04-18
Last Update Date:2009-07-02
Deactivation Date:2008-12-05
Deactivation Code:
Reactivation Date:2009-07-02
Provider Licenses
StateLicense IDTaxonomies
MA37537174400000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes174400000XOther Service ProvidersSpecialistGroup - Single Specialty