Provider Demographics
NPI:1528005949
Name:NORIS, MARYANNE (MD)
Entity type:Individual
Prefix:
First Name:MARYANNE
Middle Name:
Last Name:NORIS
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
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Other - Credentials:
Mailing Address - Street 1:200 MILL RD
Mailing Address - Street 2:SUITE 180
Mailing Address - City:FAIRHAVEN
Mailing Address - State:MA
Mailing Address - Zip Code:02719-5252
Mailing Address - Country:US
Mailing Address - Phone:508-973-2000
Mailing Address - Fax:508-973-2001
Practice Address - Street 1:1030 PRESIDENT AVE
Practice Address - Street 2:SUITE 3001
Practice Address - City:FALL RIVER
Practice Address - State:MA
Practice Address - Zip Code:02720-5923
Practice Address - Country:US
Practice Address - Phone:508-973-9700
Practice Address - Fax:508-674-7378
Is Sole Proprietor?:No
Enumeration Date:2006-06-02
Last Update Date:2020-04-23
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
MA150428207RC0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RC0000XAllopathic & Osteopathic PhysiciansInternal MedicineCardiovascular Disease
Provider Identifiers
StateIdentifier IDID TypeIssuer
MA563397OtherAETNA
MA3151883Medicaid
MA060035307OtherRAILROAD MEDICARE
MA2500271OtherUNITED HEALTH CARE
RI46361OtherRI BLUE SHIELD
RI9006731OtherEDS
MA000000022175OtherBMC HEALTHNET PLAN
MA0003575OtherNEIGHBORHOOD HEALTH
MA150428OtherTUFTS HEALTH PLAN
MA3566OtherHARVARD PILGRIM
MAJ31954OtherBLUE SHIELD
MAMA0014751OtherTRICARE
RI203570OtherBLUE CHIP
MA3151883Medicaid
MA0003575OtherNEIGHBORHOOD HEALTH