Elizabeth M Lidstone Jayanath, MD
Pediatrics in Garder, Massachusetts
1124000294- Practice location
- 175 Connors Street, Garder, MA 01440
- Phone
- 978-410-6100
- Fax
- 978-410-6109
- Last updated
- November 16, 2015
Elizabeth M Lidstone Jayanath is a Pediatrics based in Garder, MA. Elizabeth M Lidstone Jayanath practices in Garder, MA and has the professional credentials of MD. The NPI Number for Elizabeth M Lidstone Jayanath is 1124000294 and holds a License No. 156974 (MA). The current practice location address for Elizabeth M Lidstone Jayanath is 175 Connors Street, Garder, MA 01440 and can be reached out via phone at 978-410-6100 and via fax at 978-410-6109.
Provider Profile Details
- NPI Number
- 1124000294
- Provider Name
- Elizabeth M Lidstone Jayanath
- Credential
- MD
- Provider Entity Type
- Individual
- Gender
- Female
- Address
- 175 Connors Street, Garder, MA 01440
- Phone Number
- 978-410-6100
- Fax Number
- 978-410-6109
- Primary Taxonomy
- Pediatrics · 208000000X
- Sole Proprietor
- No
- Provider Enumeration Date
- November 15, 2005
- Last Update Date
- November 16, 2015
- NPI Status
- Active
Provider Business Practice Location Address Details
- Address
- 175 Connors Street
Garder, MA 01440 - City
- Garder
- State
- Massachusetts
- Zip
- 01440
- Phone Number
- 978-410-6100
- Fax Number
- 978-410-6109
Provider Business Mailing Address Details
- Address
- 326 Nichols Road
Fitchburg, MA 01420-1914 - City
- Fitchburg
- State
- MA
- Zip
- 01420-1914
- Phone Number
- 978-878-8100
- Fax Number
- 978-878-8418
License Information
- License Number
- 156974
- License State
- MA
- Taxonomy
- Pediatrics · 208000000X · Primary
Legacy Identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider. | |||
Other Pediatrics providers near Garder, MA
View all Pediatrics providers in Garder →Frequently Asked Questions
What is the NPI number of Elizabeth M Lidstone Jayanath, MD?
The NPI number of Elizabeth M Lidstone Jayanath, MD is 1124000294. It was assigned on November 15, 2005 and is currently active in the NPPES registry.
What is the specialty of Elizabeth M Lidstone Jayanath, MD?
Elizabeth M Lidstone Jayanath, MD is registered under the primary taxonomy Pediatrics (code 208000000X), licensed in MA under license number 156974.
Where does Elizabeth M Lidstone Jayanath, MD practice?
The practice location is 175 Connors Street, Garder, MA 01440. The office can be reached at 978-410-6100 (phone) or 978-410-6109 (fax).
What is an NPI number?
A National Provider Identifier (NPI) is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). It is used in HIPAA standard transactions.
How do I verify this NPI record?
This record is sourced from the public NPPES NPI Registry maintained by CMS. You can confirm it by searching NPI 1124000294 directly on the NPPES registry website.