1093793564 NPI number — DR. CLAUDIA A ARRIGG M.D.

Table of content: DR. CLAUDIA A ARRIGG M.D. (NPI 1093793564)

General

This information contains only most important part of the NPI data, for complete information, including NPI referencing materials please refer to 1093793564 NPI number — DR. CLAUDIA A ARRIGG M.D.

Organization/Personal Information

Employer Identification Number (EIN):
Provider Organization Name:
Provider Last Name:
ARRIGG
Provider First Name:
CLAUDIA
Provider Middle Name:
A
Provider Name Prefix Text:
DR.
Provider Name Suffix Text:
Provider Credential Text:
M.D.
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:
1093793564
Entity Type Code:
Individual
Replacement NPI:
Last Update Date:
01/18/2024
NPI Deactivation Reason Code:
NPI Deactivation Date:
NPI Reactivation Date:

Provider's Business Mailing Address

Provider First Line Business Mailing Address:
24 WEBSTER PL
Provider Second Line Business Mailing Address:
Provider Business Mailing Address City Name:
BROOKLINE
Provider Business Mailing Address State Name:
MA
Provider Business Mailing Address Postal Code:
02445-7937
Provider Business Mailing Address Country Code:
US
Provider Business Mailing Address Telephone Number:
617-202-2020
Provider Business Mailing Address Fax Number:
617-734-3264

Provider's Practice Location Mailing Address

Provider First Line Business Practice Location Address:
24 WEBSTER PL
Provider Second Line Business Practice Location Address:
Provider Business Practice Location Address City Name:
BROOKLINE
Provider Business Practice Location Address State Name:
MA
Provider Business Practice Location Address Postal Code:
02445-7937
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
978-686-2983
Provider Business Practice Location Address Fax Number:
978-686-0684
Provider Enumeration Date:
01/05/2006

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: 174400000X , with the licence number:  45150 , 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: 6168019 , issued by the state of ( MA ) . This identifiers is of the category "MEDICAID".
  • Identifier: J02065 . This is a "BLUE CROSS/BLUE SHILED" identifier , issued by the state of ( MD ) . This identifiers is of the category "OTHER".




Copyright © 2007-2024 www.npivalidator.com