Provider Demographics
NPI:1215116355
Name:MICHELLE J. ALPERT, MD PC
Entity type:Organization
Organization Name:MICHELLE J. ALPERT, MD PC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PHYSICIAN
Authorized Official - Prefix:DR
Authorized Official - First Name:MICHELLE
Authorized Official - Middle Name:J
Authorized Official - Last Name:ALPERT
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:617-560-7318
Mailing Address - Street 1:PO BOX 2190
Mailing Address - Street 2:
Mailing Address - City:PEABODY
Mailing Address - State:MA
Mailing Address - Zip Code:01960-7190
Mailing Address - Country:US
Mailing Address - Phone:781-231-7026
Mailing Address - Fax:781-231-1004
Practice Address - Street 1:24 HAMLIN RD
Practice Address - Street 2:
Practice Address - City:NEWTON
Practice Address - State:MA
Practice Address - Zip Code:02459-1002
Practice Address - Country:US
Practice Address - Phone:617-560-7318
Practice Address - Fax:617-928-9844
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-10-25
Last Update Date:2009-04-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes225400000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersRehabilitation PractitionerGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
MAM18191OtherBLUE CROSS
MA9728571Medicaid
MA307907OtherHARVARD PILGRIM
MA759531OtherTUFTS
MA9728571Medicaid