1578270146 NPI number — CAROLYN ANN GAYLER-ROMERO LEP

Table of content: CAROLYN ANN GAYLER-ROMERO LEP (NPI 1578270146)

General

This information contains only most important part of the NPI data, for complete information, including NPI referencing materials please refer to 1578270146 NPI number — CAROLYN ANN GAYLER-ROMERO LEP

Organization/Personal Information

Employer Identification Number (EIN):
Provider Organization Name:
Provider Last Name:
GAYLER-ROMERO
Provider First Name:
CAROLYN
Provider Middle Name:
ANN
Provider Name Prefix Text:
Provider Name Suffix Text:
Provider Credential Text:
LEP
Provider Gender Code:
F

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:
1578270146
Entity Type Code:
Individual
Replacement NPI:
Last Update Date:
11/02/2022
NPI Deactivation Reason Code:
NPI Deactivation Date:
NPI Reactivation Date:

Provider's Business Mailing Address

Provider First Line Business Mailing Address:
CATCH
Provider Second Line Business Mailing Address:
BOSTON NORTH TECH., PARK, 110 HAVERHILL RD. , SUITE 403
Provider Business Mailing Address City Name:
AMESBURY
Provider Business Mailing Address State Name:
MA
Provider Business Mailing Address Postal Code:
01913
Provider Business Mailing Address Country Code:
US
Provider Business Mailing Address Telephone Number:
978-545-4004
Provider Business Mailing Address Fax Number:
978-545-1001

Provider's Practice Location Mailing Address

Provider First Line Business Practice Location Address:
CATCH
Provider Second Line Business Practice Location Address:
BOSTON NORTH TECH., PARK, 110 HAVERHILL RD. , SUITE 403
Provider Business Practice Location Address City Name:
AMESBURY
Provider Business Practice Location Address State Name:
MA
Provider Business Practice Location Address Postal Code:
01913
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
978-545-4004
Provider Business Practice Location Address Fax Number:
978-545-1001
Provider Enumeration Date:
11/02/2022

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: 103TS0200X , with the licence number:  448339 , 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)