Organization · NPI-2

Heywood Medical Group INC.

General Practice · Gardner, MA

NPI number1699762286

StatusActive

Last updated in NPPESJun 8, 2023

Details

NPI: 1699762286
Entity type: Organization (NPI-2)
Legal business name: Heywood Medical Group INC.
Organization subpart: No
Enumeration date: Sep 29, 2005
Certification date: Jun 8, 2023
Last updated: Jun 8, 2023

Taxonomy and licenses

Taxonomy code	Description	License	State	Primary
208D00000X	General Practice	–	MA	Yes
207V00000X	Obstetrics & Gynecology	–	–
208800000X	Urology	238888	MA
363L00000X	Nurse Practitioner	–	–
207X00000X	Orthopaedic Surgery	–	–
208000000X	Pediatrics	–	–
2084N0400X	Psychiatry & Neurology, Neurology	–	–
363LF0000X	Nurse Practitioner, Family	–	–
207L00000X	Anesthesiology	–	–
207Q00000X	Family Medicine	–	MA
207R00000X	Internal Medicine	–	MA
207RC0000X	Internal Medicine, Cardiovascular Disease	–	MA
207RG0100X	Internal Medicine, Gastroenterology	–	–
207RH0003X	Internal Medicine, Hematology & Oncology	–	–
207RP1001X	Internal Medicine, Pulmonary Disease	–	–

Practice location

242 Green St
Gardner, MA 01440-1336

Phone 978-630-5076 · Fax 978-630-5079

Mailing address

242 Green St
Gardner, MA 01440-1336

Phone 978-630-5072 · Fax 978-630-5079

Authorized official

Thomas J Sullivan
Ceo
9786306157

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