Active NPIIndividual provider

Ian Dwyer

Internal Medicine in Everett, Massachusetts

NPI Number1558011767
Practice location
391 Broadway, Everett, MA 02149-3470
Fax
—
Last updated
August 4, 2025

Ian Dwyer is an Internal Medicine based in Everett, MA. Ian Dwyer practices in Everett, MA. The NPI Number for Ian Dwyer is 1558011767 and holds a License No. 1024466 (MA). The current practice location address for Ian Dwyer is 391 Broadway, Everett, MA 02149-3470 and can be reached out via phone at 617-394-7702.

Provider Profile Details

NPI Number
1558011767
Provider Name
Ian Dwyer
Provider Entity Type
Individual
Gender
Male
Address
391 Broadway, Everett, MA 02149-3470
Phone Number
617-394-7702
Primary Taxonomy
Internal Medicine · 207R00000X
Sole Proprietor
No
Provider Enumeration Date
March 29, 2022
Last Update Date
August 4, 2025
Certification Date
August 4, 2025
NPI Status
Active

Provider Business Practice Location Address Details

Address
391 Broadway
Everett, MA 02149-3470
Zip
02149-3470
Phone Number
617-394-7702
Everett, MA 02149Get directions →

Provider Business Mailing Address Details

Address
391 Broadway
Everett, MA 02149-3470
City
Everett
State
MA
Zip
02149-3470
Phone Number
617-394-7702

License Information

License Number
1024466
License State
MA
Taxonomy
Internal Medicine · 207R00000X · 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 Ian Dwyer?

The NPI number of Ian Dwyer is 1558011767. It was assigned on March 29, 2022 and is currently active in the NPPES registry.

What is the specialty of Ian Dwyer?

Ian Dwyer is registered under the primary taxonomy Internal Medicine (code 207R00000X), licensed in MA under license number 1024466.

Where does Ian Dwyer practice?

The practice location is 391 Broadway, Everett, MA 02149-3470. The office can be reached at 617-394-7702 (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 1558011767 directly on the NPPES registry website.

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