Eaton, Anthony Gibran

Eaton, Anthony Gibran is an individual health care provider with primary practice located at 87 Jackson St , Methuen MA 01844-5044. He recently has only one registered license in Allopathic & Osteopathic Physicians / Internal Medicine, which is considered as his primary health care specialty. Eaton, Anthony Gibran can be contacted via phone (978) 208-4756.

Contact Information

Primary practice address
87 Jackson St Methuen MA 01844-5044
Phone: (978) 208-4756
Fax: (978) 686-6584
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Internal Medicine 207R00000X 220078 Massachusetts

Profile Details

NPI number 1831193101
LBN Legal business name Eaton, Anthony Gibran
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 2nd, 2005
Last updated Feb 12th, 2014 - about 10 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1831193101 NPPES
Massachusetts MEDICAID 2061546
Massachusetts Other 469196
Massachusetts Other J27682
Massachusetts Other AA13929

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