Active NPIIndividual provider

Irini E Maradianos

Physician Assistant in Medford, Massachusetts

NPI Number1407633654
Practice location
75 Riverside Ave Ste 2, Medford, MA 02155-4600
Fax
—
Last updated
December 18, 2023

Irini E Maradianos is a Physician Assistant based in Medford, MA. Irini E Maradianos practices in Medford, MA. The NPI Number for Irini E Maradianos is 1407633654. The current practice location address for Irini E Maradianos is 75 Riverside Ave Ste 2, Medford, MA 02155-4600 and can be reached out via phone at 781-306-0200.

Provider Profile Details

NPI Number
1407633654
Provider Name
Irini E Maradianos
Provider Entity Type
Individual
Gender
Female
Address
75 Riverside Ave Ste 2, Medford, MA 02155-4600
Phone Number
781-306-0200
Primary Taxonomy
Physician Assistant · 363A00000X
Sole Proprietor
No
Provider Enumeration Date
September 12, 2023
Last Update Date
December 18, 2023
Certification Date
December 18, 2023
NPI Status
Active

Provider Business Practice Location Address Details

Address
75 Riverside Ave Ste 2
Medford, MA 02155-4600
Zip
02155-4600
Phone Number
781-306-0200
Medford, MA 02155Get directions →

Provider Business Mailing Address Details

Address
75 Riverside Ave Ste 2
Medford, MA 02155-4600
City
Medford
State
MA
Zip
02155-4600
Phone Number
781-306-0200
Fax Number
781-306-0264

License Information

Taxonomy
Physician Assistant · 363A00000X · Primary

Legacy Identifiers

IdentifierTypeStateIssuer
No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider.

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Frequently Asked Questions

What is the NPI number of Irini E Maradianos?

The NPI number of Irini E Maradianos is 1407633654. It was assigned on September 12, 2023 and is currently active in the NPPES registry.

What is the specialty of Irini E Maradianos?

Irini E Maradianos is registered under the primary taxonomy Physician Assistant (code 363A00000X).

Where does Irini E Maradianos practice?

The practice location is 75 Riverside Ave Ste 2, Medford, MA 02155-4600. The office can be reached at 781-306-0200 (phone).

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 1407633654 directly on the NPPES registry website.

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