Active NPIOrganization

Northeast Pho, INC

Case Manager/Care Coordinator in Beverly, Massachusetts

NPI Number1952504706
Practice location
55 Tozer RD, Beverly, MA 01915-5515
Fax
978-236-1777
Last updated
August 22, 2020

Northeast Pho, INC is a healthcare organization based in Beverly, MA. Northeast Pho, INC practices in Beverly, MA. The NPI Number for Northeast Pho, INC is 1952504706. The current practice location address for Northeast Pho, INC is 55 Tozer RD, Beverly, MA 01915-5515 and can be reached out via phone at 978-236-1744 and via fax at 978-236-1777.

Provider Profile Details

NPI Number
1952504706
Provider Name
Northeast Pho, INC
Provider Entity Type
Organization
Address
55 Tozer RD, Beverly, MA 01915-5515
Phone Number
978-236-1744
Fax Number
978-236-1777
Primary Taxonomy
Case Manager/Care Coordinator · 171M00000X
Organization Subpart
No
Authorized Official
Dr. Gregory Bazylewicz, MD · President · 978-236-1744
Provider Enumeration Date
June 8, 2007
Last Update Date
August 22, 2020
NPI Status
Active

Provider Business Practice Location Address Details

Address
55 Tozer RD
Beverly, MA 01915-5515
Zip
01915-5515
Phone Number
978-236-1744
Fax Number
978-236-1777
Beverly, MA 01915Get directions →

Provider Business Mailing Address Details

Address
55 Tozer RD
Beverly, MA 01915-5515
City
Beverly
State
MA
Zip
01915-5515
Phone Number
978-236-1744
Fax Number
978-236-1777

License Information

Taxonomy
Case Manager/Care Coordinator · 171M00000X · 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 Northeast Pho, INC?

The NPI number of Northeast Pho, INC is 1952504706. It was assigned on June 8, 2007 and is currently active in the NPPES registry.

What is the specialty of Northeast Pho, INC?

Northeast Pho, INC is registered under the primary taxonomy Case Manager/Care Coordinator (code 171M00000X).

Where does Northeast Pho, INC practice?

The practice location is 55 Tozer RD, Beverly, MA 01915-5515. The office can be reached at 978-236-1744 (phone) or 978-236-1777 (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 1952504706 directly on the NPPES registry website.

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