1861687949 NPI number — AARON POLLOCK, PC

Table of Contents

General

This information contains only most important part of the NPI data, for complete information, including NPI referencing materials please refer to 1861687949 NPI number — AARON POLLOCK, PC

Organization/Personal Information

Employer Identification Number (EIN):
Provider Organization Name:
AARON POLLOCK, PC
Provider Last Name:
Provider First Name:
Provider Middle Name:
Provider Name Prefix Text:
Provider Name Suffix Text:
Provider Credential Text:
Provider Gender Code:

Provider's Other Name Information

Provider Other Organization Name:
Provider Other Organization Name Type Code:
6
Provider Other Last Name:
Provider Other First Name:
Provider Other Middle Name:
Provider Other Name Prefix Text:
Provider Other Name Suffix Text:
Provider Other Credential Text:
Provider Other Last Name Type Code:

NPI Number Information

NPI Number:
1861687949
Entity Type Code:
Organization
Replacement NPI:
Last Update Date:
09/11/2007
NPI Deactivation Reason Code:
NPI Deactivation Date:
NPI Reactivation Date:

Provider's Business Mailing Address

Provider First Line Business Mailing Address:
790 TURNPIKE ST
Provider Second Line Business Mailing Address:
SUITE 300
Provider Business Mailing Address City Name:
NORTH ANDOVER
Provider Business Mailing Address State Name:
MA
Provider Business Mailing Address Postal Code:
01845-6144
Provider Business Mailing Address Country Code:
US
Provider Business Mailing Address Telephone Number:
978-327-5960
Provider Business Mailing Address Fax Number:
978-327-5962

Provider's Practice Location Mailing Address

Provider First Line Business Practice Location Address:
790 TURNPIKE ST
Provider Second Line Business Practice Location Address:
SUITE 300
Provider Business Practice Location Address City Name:
NORTH ANDOVER
Provider Business Practice Location Address State Name:
MA
Provider Business Practice Location Address Postal Code:
01845-6144
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
978-327-5960
Provider Business Practice Location Address Fax Number:
978-327-5962
Provider Enumeration Date:
09/11/2007

Additional Information

Authorized Official

Authorized Official Last Name:
POLLOCK
Authorized Official First Name:
AARON
Authorized Official Middle Name:
JEFFREY
Authorized Official Title or Position:
OWNER/DOCTOR
Authorized Official Telephone Number:
978-327-5960

Provider Taxonomy Codes

  • Taxonomy code: 111N00000X , with the licence number:  2758 , registered in the state of MA ; information, associated with the NPI states the following Primary Taxonomy Switch: "Y" .

Other Provider's Identifiers (legacy, non-NPI)

  • Identifier: Y39871 . This is a "BLUE CROSS LEGACY NUMBER" identifier , issued by the state of ( MA ) . This identifiers is of the category "OTHER".




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