Middlesex Recovery Professional Corporation
Family Medicine, Addiction Medicine in Malden, Massachusetts
1962774638- Practice location
- 405 Pearl St, Suite 4, Malden, MA 02148-6644
- Phone
- 781-605-0944
- Fax
- 781-605-3710
- Last updated
- January 27, 2012
Middlesex Recovery Professional Corporation is a healthcare organization based in Malden, MA. Middlesex Recovery Professional Corporation practices in Malden, MA. The NPI Number for Middlesex Recovery Professional Corporation is 1962774638 and holds a License No. 72453 (MA). The current practice location address for Middlesex Recovery Professional Corporation is 405 Pearl St, Suite 4, Malden, MA 02148-6644 and can be reached out via phone at 781-605-0944 and via fax at 781-605-3710.
Provider Profile Details
- NPI Number
- 1962774638
- Provider Name
- Middlesex Recovery Professional Corporation
- Provider Entity Type
- Organization
- Address
- 405 Pearl St, Suite 4, Malden, MA 02148-6644
- Phone Number
- 781-605-0944
- Fax Number
- 781-605-3710
- Primary Taxonomy
- Family Medicine, Addiction Medicine · 207QA0401X
- Organization Subpart
- No
- Authorized Official
- Dr. Brian William O'Connor, MD · President · 781-605-0944
- Provider Enumeration Date
- January 27, 2012
- Last Update Date
- January 27, 2012
- NPI Status
- Active
Provider Business Practice Location Address Details
- Address
- 405 Pearl St
Suite 4
Malden, MA 02148-6644 - City
- Malden
- State
- Massachusetts
- Zip
- 02148-6644
- Phone Number
- 781-605-0944
- Fax Number
- 781-605-3710
Provider Business Mailing Address Details
- Address
- 405 Pearl St
Suite 4
Malden, MA 02148-6644 - City
- Malden
- State
- MA
- Zip
- 02148-6644
- Phone Number
- 781-605-0944
- Fax Number
- 781-605-3710
License Information
- License Number
- 72453
- License State
- MA
- Taxonomy
- Family Medicine, Addiction Medicine · 207QA0401X · Primary
Legacy Identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 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 Middlesex Recovery Professional Corporation?
The NPI number of Middlesex Recovery Professional Corporation is 1962774638. It was assigned on January 27, 2012 and is currently active in the NPPES registry.
What is the specialty of Middlesex Recovery Professional Corporation?
Middlesex Recovery Professional Corporation is registered under the primary taxonomy Family Medicine, Addiction Medicine (code 207QA0401X), licensed in MA under license number 72453.
Where does Middlesex Recovery Professional Corporation practice?
The practice location is 405 Pearl St, Suite 4, Malden, MA 02148-6644. The office can be reached at 781-605-0944 (phone) or 781-605-3710 (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 1962774638 directly on the NPPES registry website.