Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of October 4, 2026.

Northeast Hospital Corporation

Organization Geriatric Medicine (Internal Medicine) Physician · NPI 1164547063

Northeast Hospital Corporation provides Geriatric Medicine (Internal Medicine) Physician services in Danvers, Massachusetts. Registered with an NPI since 2007.

In the registry since
2007

Practice location Address checks out

480 Maple St Center For Healthy Aging
Danvers, MA 01923-4065 Not confirmed with CMS for 11 years — call before visiting
Phone: (866) 479-3302
Fax: (978) 921-7048
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Geriatric Medicine (Internal Medicine) Physician (primary) Taxonomy 207RG0300X

Record details

NPI number1164547063
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Denis Conroy — Ceo · (978) 922-3000
NPI enumeratedMarch 20, 2007
Last updated in NPPESNovember 12, 2014
Mailing address85 Herrick Street, Medical Staff Office, Beverly, MA 01915

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