1154323764 NPI number — WILLIAM S POSTAL MD

Table of content: WILLIAM S POSTAL MD (NPI 1154323764)

General

This information contains only most important part of the NPI data, for complete information, including NPI referencing materials please refer to 1154323764 NPI number — WILLIAM S POSTAL MD

Organization/Personal Information

Employer Identification Number (EIN):
Provider Organization Name:
Provider Last Name:
POSTAL
Provider First Name:
WILLIAM
Provider Middle Name:
S
Provider Name Prefix Text:
Provider Name Suffix Text:
Provider Credential Text:
MD
Provider Gender Code:
M

Provider's Other Name Information

Provider Other Organization Name:
Provider Other Organization Name Type Code:
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:
1154323764
Entity Type Code:
Individual
Replacement NPI:
Last Update Date:
03/07/2023
NPI Deactivation Reason Code:
NPI Deactivation Date:
NPI Reactivation Date:

Provider's Business Mailing Address

Provider First Line Business Mailing Address:
198 MASSACHUSETTS AVE
Provider Second Line Business Mailing Address:
STE 103
Provider Business Mailing Address City Name:
N ANDOVER
Provider Business Mailing Address State Name:
MA
Provider Business Mailing Address Postal Code:
01845-4143
Provider Business Mailing Address Country Code:
US
Provider Business Mailing Address Telephone Number:
978-685-7550
Provider Business Mailing Address Fax Number:
978-686-5565

Provider's Practice Location Mailing Address

Provider First Line Business Practice Location Address:
198 MASSACHUSETTS AVE
Provider Second Line Business Practice Location Address:
STE 103
Provider Business Practice Location Address City Name:
N ANDOVER
Provider Business Practice Location Address State Name:
MA
Provider Business Practice Location Address Postal Code:
01845-4143
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
978-685-7550
Provider Business Practice Location Address Fax Number:
978-686-5565
Provider Enumeration Date:
08/12/2005

Additional Information

Authorized Official

Authorized Official Last Name:
Authorized Official First Name:
Authorized Official Middle Name:
Authorized Official Title or Position:
Authorized Official Telephone Number:

Provider Taxonomy Codes

  • Taxonomy code: 207Y00000X , with the licence number:  76188 , registered in the state of MA ; information, associated with the NPI states the following Primary Taxonomy Switch: "Y" .
  • Taxonomy code: 207Y00000X , with the licence number: 9431 , registered in the state of NH ; information, associated with the NPI states the following Primary Taxonomy Switch: "N" .

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

  • Identifier: 0727174-001 . This is a "CIGNA PAL" identifier . This identifiers is of the category "OTHER".
  • Identifier: 0013824 . This is a "NHP" identifier . This identifiers is of the category "OTHER".
  • Identifier: J30820 . This is a "BS HMO" identifier . This identifiers is of the category "OTHER".
  • Identifier: 040007239 . This is a "MC RR" identifier . This identifiers is of the category "OTHER".
  • Identifier: 733650 . This is a "SECURE HORIZON" identifier . This identifiers is of the category "OTHER".
  • Identifier: J30820 . This is a "BS MA" identifier . This identifiers is of the category "OTHER".
  • Identifier: 0109837Y0MA01 . This is a "NH BS" identifier . This identifiers is of the category "OTHER".
  • Identifier: 37479 . This is a "FALLON" identifier . This identifiers is of the category "OTHER".
  • Identifier: 472776 . This is a "AETNA USHC" identifier . This identifiers is of the category "OTHER".
  • Identifier: 76188 . This is a "MA LICENSE" identifier . This identifiers is of the category "OTHER".
  • Identifier: B202840002 . This is a "CIGNA" identifier . This identifiers is of the category "OTHER".
  • Identifier: 9431 . This is a "NH LICENSE" identifier . This identifiers is of the category "OTHER".
  • Identifier: 976837 . This is a "NETWORK HEALTH" identifier . This identifiers is of the category "OTHER".
  • Identifier: 48349 . This is a "AAO HNS" identifier . This identifiers is of the category "OTHER".
  • Identifier: 19480 . This is a "H PIL" identifier . This identifiers is of the category "OTHER".
  • Identifier: 21845 . This is a "MMS" identifier . This identifiers is of the category "OTHER".




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