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NPI 1083360200 · live from the CMS NPI Registry

Mass General Brigham Medical Group, INC.

Internal Medicine in Salem, NH. National Provider Identifier 1083360200, active.

NPI record

NPI1083360200 Type 2 · organization
StatusActive
Primary specialtyInternal Medicine 207R00000X
Practice location30 Tuscan Boulevard, Salem, NH 03079
Practice phone857-282-7014
EnumeratedFebruary 25, 2022
Last updatedDecember 6, 2023
Authorized officialVincent Mcdermott, Sr Vp Finance/Cfo

Taxonomies and licenses

TaxonomyCodeLicense
Anesthesiology207L00000X—
Family Medicine207Q00000X—
Internal Medicine, Cardiovascular Disease207RC0000X—
Internal Medicine, Gastroenterology207RG0100X—
Ophthalmology207W00000X—
Physical Therapist225100000X—
Audiologist231H00000X—
Internal Medicine primary207R00000X—

Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.