MR. EDUARDO S HADDAD (NPI# 1124113022) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1124113022 |
| Entity Type | Individual |
| Full Name | MR. EDUARDO S HADDAD |
| Credential | MD |
| Practice Address |
140 Haverhill St Doctors Park 1 Andover MA 01810-1550 |
| Practice Telephone | 9786864343 |
| Practice Fax Number | 9786825191 |
| Mailing Telephone | 9786864343 |
| Mailing Fax Number | 9786825191 |
| Enumeration Date | 2006-10-04 |
| Last Update Date | 2015-02-11 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207RN0300X |
Internal Medicine Specialization: Nephrology |
46060 | MA | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| MA | TUFTS HEALTH CARE | 706045 | 01 |
| MA | 2099594 | 05 | |
| MA | BLUE CROSS | B26244 | 01 |
| Street Address |
140 HAVERHILL ST DOCTORS PARK 1 |
| City | ANDOVER |
| State | MA |
| Zip Code | 01810-1550 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1710985882 | Robert Peter Nelken | Pediatrics | 140 Haverhill St, Andover, MA 01810-1504 | 2005-07-12 |
| 1073022646 | Laura J Gordon | Psychologist | 140 Haverhill St, Andover, MA 01810-1550 | 2017-09-26 |
| 1952703092 | Katie Lynn Wallace | Nurse Practitioner | 140 Haverhill St, Andover, MA 01810-1550 | 2014-09-19 |
| 1104116086 | Andover Surgical Associates, LLC | Surgery | 140 Haverhill St, Andover, MA 01810-1550 | 2011-04-13 |
| 1407160435 | Katerina Angelica Mooers | Nurse Practitioner | 140 Haverhill St, Bldg 1, Andover, MA 01810-1550 | 2010-08-02 |
| 1245467794 | Jennifer C Hensley | Pediatrics | 140 Haverhill St, Andover, MA 01810-1550 | 2009-06-11 |
| 1760653679 | Winchester Physician Associates | Emergency Medicine | 140 Haverhill St, Andover, MA 01810-1550 | 2008-03-19 |
| 1700069820 | Sarah Bethany Finch | Obstetrics & Gynecology | 140 Haverhill St, Andover, MA 01810 | 2007-12-12 |
| 1215134390 | Earl R Gonzales | Surgery | 140 Haverhill St, Andover, MA 01810-1550 | 2007-07-02 |
| 1659498517 | Andover Urology Associates | Specialist | 140 Haverhill St, Doctors Park 1, Andover, MA 01810-1550 | 2007-03-24 |
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| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1871123513 | Jill Katherine Priestley | Registered Nurse | 251 South Main Street, Andover, MA 01810 | 2020-01-22 |
| 1023672086 | Diane Marie Gallant | Occupational Therapy Assistant | 5606 80 Andover Street, Andover, MA 01810 | 2019-04-25 |
| 1932677473 | Jessica Howie | Physician Assistant | 28 Andover St Fl 1, Andover, MA 01810 | 2018-11-02 |
| 1972087138 | Mia Cloonan | Social Worker | 1 Punchard Avenue, Apt. 3 Rear, Andover, MA 01810 | 2018-09-23 |
| 1063995462 | Janet Suleski | Social Worker | 10 Stevens St, Andover, MA 01810 | 2018-09-11 |
| 1942794706 | Alison Catherine Lynch | Optometrist | 7 Parthenon Cir, Andover, MA 01810 | 2018-06-15 |
| 1740773647 | Wandajune Bishop-towle | Psychologist | 75 Wild Rose Dr., Andover, MA 01810 | 2018-06-14 |
| 1235689860 | Jo-ann Elizabeth Newcomb | Registered Nurse | 12 Hemlock Rd, Andover, MA 01810 | 2016-10-06 |
| 1922476712 | Marianela Rivera | Physical Therapist | 32 Osgood St., Andover, MA 01810 | 2015-09-10 |
| 1447535935 | Kathleen L Mccracken | Occupational Therapy Assistant | 200 Brickstone Square, 3rd Floor, Genesis Rehab Services, Andover, MA 01810 | 2011-10-15 |
| Find all providers in zip 01810 | ||||
| Taxonomy Code | 207RN0300X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Internal Medicine |
| Specialization | Nephrology |
| An internist who treats disorders of the kidney, high blood pressure, fluid and mineral balance and dialysis of body wastes when the kidneys do not function. This specialist consults with surgeons about kidney transplantation. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: added definition, added source; 7/1/2011: modified source] - Additional Resources: American Board of Internal Medicine, 2007. http://www.abim.org/. American Osteopathic Board of Internal Medicine, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Internal Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Internal Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1861453573 | Franklin Dorian Segall | Internal Medicine | 10 Alonesos Way, Andover, MA 01810 | 2006-03-31 |
| 1275628174 | Riverside Nephrology PC | Internal Medicine | 140 Haverhill St, Ste 8, Andover, MA 01810-1550 | 2006-10-04 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1386275444 | Grace Medical PC | Internal Medicine | 16 Ledge Hill St, Randolph, MA 02368-3514 | 2020-01-28 |
| 1588154041 | Ralph Nader | Internal Medicine | 72 East Concord St, Collamore Suite 29, Boston, MA 02118 | 2018-05-10 |
| 1184122905 | Claire Avillach | Internal Medicine | 650 Albany St Rm 540, Boston, MA 02118-2518 | 2018-01-26 |
| 1457880213 | Kidney Care and Transplant Services of New England, PC | Internal Medicine | 51 Locust St Ste 3, Northampton, MA 01060-2045 | 2017-06-06 |
| 1609263888 | Naveed Ashfaq | Internal Medicine | 148 Green St, Foxboro, MA 02035-2869 | 2015-04-24 |
| 1043612823 | New England Nephrology Associates, Pllc | Internal Medicine | 263 Huntington Ave # 232, Boston, MA 02115-4506 | 2014-09-23 |
| 1215345178 | Loulwa Alsharhan | Internal Medicine | 650 Albany St Fl 5, Boston, MA 02118-2518 | 2014-07-23 |
| 1154653921 | Innovative Medicine, PC | Internal Medicine | 70 Parker Hill Ave, Suite 3406, Roxbury Crossing, MA 02120-3224 | 2010-02-04 |
| 1639324791 | Patricia A Suzman | Internal Medicine | 87 Beacon St, Boston, MA 02108-3323 | 2008-11-17 |
| 1497922439 | Harald Sinclair Mackenzie | Internal Medicine | 422b Monument St, Concord, MA 01742-1810 | 2008-05-09 |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.