1295053601 NPI number — MRS. SABBAY PARING MALVESTI PHARMD

Table of content: MRS. SABBAY PARING MALVESTI PHARMD (NPI 1295053601)

General

This information contains only most important part of the NPI data, for complete information, including NPI referencing materials please refer to 1295053601 NPI number — MRS. SABBAY PARING MALVESTI PHARMD

Organization/Personal Information

Employer Identification Number (EIN):
Provider Organization Name:
Provider Last Name:
MALVESTI
Provider First Name:
SABBAY
Provider Middle Name:
PARING
Provider Name Prefix Text:
MRS.
Provider Name Suffix Text:
Provider Credential Text:
PHARMD
Provider Gender Code:
F

Provider's Other Name Information

Provider Other Organization Name:
Provider Other Organization Name Type Code:
Provider Other Last Name:
LAY
Provider Other First Name:
SABBAY
Provider Other Middle Name:
PARING
Provider Other Name Prefix Text:
MISS
Provider Other Name Suffix Text:
Provider Other Credential Text:
PHARMD
Provider Other Last Name Type Code:
1

NPI Number Information

NPI Number:
1295053601
Entity Type Code:
Individual
Replacement NPI:
Last Update Date:
05/10/2010
NPI Deactivation Reason Code:
NPI Deactivation Date:
NPI Reactivation Date:

Provider's Business Mailing Address

Provider First Line Business Mailing Address:
28 S WALKER ST
Provider Second Line Business Mailing Address:
Provider Business Mailing Address City Name:
LOWELL
Provider Business Mailing Address State Name:
MA
Provider Business Mailing Address Postal Code:
01851-3718
Provider Business Mailing Address Country Code:
US
Provider Business Mailing Address Telephone Number:
978-996-2870
Provider Business Mailing Address Fax Number:

Provider's Practice Location Mailing Address

Provider First Line Business Practice Location Address:
718 SMYTH RD
Provider Second Line Business Practice Location Address:
Provider Business Practice Location Address City Name:
MANCHESTER
Provider Business Practice Location Address State Name:
NH
Provider Business Practice Location Address Postal Code:
03104-7007
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
603-624-4366
Provider Business Practice Location Address Fax Number:
Provider Enumeration Date:
05/10/2010

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: 183500000X , with the licence number:  PH232855 , 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)





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