1750307476 NPI number — DR. MARC JOSEPH TURCO O.D.

Table of content: DR. MARC JOSEPH TURCO O.D. (NPI 1750307476)

General

This information contains only most important part of the NPI data, for complete information, including NPI referencing materials please refer to 1750307476 NPI number — DR. MARC JOSEPH TURCO O.D.

Organization/Personal Information

Employer Identification Number (EIN):
Provider Organization Name:
Provider Last Name:
TURCO
Provider First Name:
MARC
Provider Middle Name:
JOSEPH
Provider Name Prefix Text:
DR.
Provider Name Suffix Text:
Provider Credential Text:
O.D.
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:
1750307476
Entity Type Code:
Individual
Replacement NPI:
Last Update Date:
08/11/2014
NPI Deactivation Reason Code:
NPI Deactivation Date:
NPI Reactivation Date:

Provider's Business Mailing Address

Provider First Line Business Mailing Address:
131 HOWARD ST
Provider Second Line Business Mailing Address:
Provider Business Mailing Address City Name:
SAUGUS
Provider Business Mailing Address State Name:
MA
Provider Business Mailing Address Postal Code:
01906-4014
Provider Business Mailing Address Country Code:
US
Provider Business Mailing Address Telephone Number:
781-231-2371
Provider Business Mailing Address Fax Number:

Provider's Practice Location Mailing Address

Provider First Line Business Practice Location Address:
1325 BROADWAY
Provider Second Line Business Practice Location Address:
Provider Business Practice Location Address City Name:
SAUGUS
Provider Business Practice Location Address State Name:
MA
Provider Business Practice Location Address Postal Code:
01906-4178
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
781-231-4593
Provider Business Practice Location Address Fax Number:
Provider Enumeration Date:
07/14/2006

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: 152W00000X , with the licence number:  3128 , 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: 0392146 , issued by the state of ( MA ) . This identifiers is of the category "MEDICAID".
  • Identifier: W15962 . This is a "BLUE CROSS & BLUE SHIELD" identifier , issued by the state of ( MA ) . This identifiers is of the category "OTHER".




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