Active NPIIndividual provider

Ms. Margarita G Burdetsky, PAC MS

Physician Assistant in Everett, Massachusetts

NPI Number1558404814
Practice location
391 Broadway Ste 204, Prohealth Intagrated Medical, Everett, MA 02149-3471
Fax
617-389-1619
Last updated
July 28, 2015

Margarita G Burdetsky is a Physician Assistant based in Everett, MA. Margarita G Burdetsky practices in Everett, MA and has the professional credentials of PAC MS. The NPI Number for Margarita G Burdetsky is 1558404814 and holds a License No. PA5063 (MA). The current practice location address for Margarita G Burdetsky is 391 Broadway Ste 204, Prohealth Intagrated Medical, Everett, MA 02149-3471 and can be reached out via phone at 617-389-0045 and via fax at 617-389-1619.

Provider Profile Details

NPI Number
1558404814
Provider Name
Margarita G Burdetsky
Credential
PAC MS
Provider Entity Type
Individual
Gender
Female
Address
391 Broadway Ste 204, Prohealth Intagrated Medical, Everett, MA 02149-3471
Phone Number
617-389-0045
Fax Number
617-389-1619
Primary Taxonomy
Physician Assistant · 363A00000X
Sole Proprietor
No
Provider Enumeration Date
February 15, 2007
Last Update Date
July 28, 2015
NPI Status
Active

Provider Business Practice Location Address Details

Address
391 Broadway Ste 204
Prohealth Intagrated Medical
Everett, MA 02149-3471
Zip
02149-3471
Phone Number
617-389-0045
Fax Number
617-389-1619
Everett, MA 02149Get directions →

Provider Business Mailing Address Details

Address
Cha-Everett Family Health Center
391 Broadway
Everett, MA 02149
City
Everett
State
MA
Zip
02149
Phone Number
617-389-0045

License Information

License Number
PA5063
License State
MA
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 Ms. Margarita G Burdetsky, PAC MS?

The NPI number of Ms. Margarita G Burdetsky, PAC MS is 1558404814. It was assigned on February 15, 2007 and is currently active in the NPPES registry.

What is the specialty of Ms. Margarita G Burdetsky, PAC MS?

Ms. Margarita G Burdetsky, PAC MS is registered under the primary taxonomy Physician Assistant (code 363A00000X), licensed in MA under license number PA5063.

Where does Ms. Margarita G Burdetsky, PAC MS practice?

The practice location is 391 Broadway Ste 204, Prohealth Intagrated Medical, Everett, MA 02149-3471. The office can be reached at 617-389-0045 (phone) or 617-389-1619 (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 1558404814 directly on the NPPES registry website.

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