Active NPIIndividual provider

Latoya S Etheridge, MD

Family Medicine in Malden, Massachusetts

NPI Number1972762821
Practice location
178 Savin St Ste 100, Hallmark Health Medical Associates INC., Malden, MA 02148-3591
Fax
781-338-7405
Last updated
May 2, 2012

Latoya S. Etheridge is a Family Medicine based in Malden, MA. Latoya S. Etheridge practices in Malden, MA and has the professional credentials of MD. The NPI Number for Latoya S. Etheridge is 1972762821 and holds a License No. 237282 (MA). The current practice location address for Latoya S. Etheridge is 178 Savin St Ste 100, Hallmark Health Medical Associates INC., Malden, MA 02148-3591 and can be reached out via phone at 781-338-7400 and via fax at 781-338-7405.

Provider Profile Details

NPI Number
1972762821
Provider Name
Latoya S. Etheridge
Credential
MD
Provider Entity Type
Individual
Gender
Female
Address
178 Savin St Ste 100, Hallmark Health Medical Associates INC., Malden, MA 02148-3591
Phone Number
781-338-7400
Fax Number
781-338-7405
Primary Taxonomy
Family Medicine · 207Q00000X
Sole Proprietor
No
Provider Enumeration Date
June 5, 2008
Last Update Date
May 2, 2012
NPI Status
Active

Provider Business Practice Location Address Details

Address
178 Savin St Ste 100
Hallmark Health Medical Associates INC.
Malden, MA 02148-3591
City
Malden
Zip
02148-3591
Phone Number
781-338-7400
Fax Number
781-338-7405
Malden, MA 02148Get directions →

Provider Business Mailing Address Details

Address
178 Savin St Ste 100
Hallmark Health Medical Associates INC.
Malden, MA 02148-3591
City
Malden
State
MA
Zip
02148-3591
Phone Number
781-338-7400
Fax Number
781-338-7405

License Information

License Number (1)
237282
License State (1)
MA
License Number (2)
249317
License State (2)
MA
Taxonomy (2)
Family Medicine · 207Q00000X · 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 Latoya S Etheridge, MD?

The NPI number of Latoya S Etheridge, MD is 1972762821. It was assigned on June 5, 2008 and is currently active in the NPPES registry.

What is the specialty of Latoya S Etheridge, MD?

Latoya S Etheridge, MD is registered under the primary taxonomy Family Medicine (code 207Q00000X), licensed in MA under license number 237282.

Where does Latoya S Etheridge, MD practice?

The practice location is 178 Savin St Ste 100, Hallmark Health Medical Associates INC., Malden, MA 02148-3591. The office can be reached at 781-338-7400 (phone) or 781-338-7405 (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 1972762821 directly on the NPPES registry website.

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