Provider Demographics
NPI:1699984625
Name:FRANCIS, AMY (DO)
Entity type:Individual
Prefix:
First Name:AMY
Middle Name:
Last Name:FRANCIS
Suffix:
Gender:F
Credentials:DO
Other - Prefix:
Other - First Name:AMY
Other - Middle Name:
Other - Last Name:SIEWKO
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:DO
Mailing Address - Street 1:2 ESSEX CENTER DR
Mailing Address - Street 2:HVMA - INTERNAL MEDICINE
Mailing Address - City:PEABODY
Mailing Address - State:MA
Mailing Address - Zip Code:01960-2902
Mailing Address - Country:US
Mailing Address - Phone:978-977-4210
Mailing Address - Fax:978-977-4226
Practice Address - Street 1:2 ESSEX CENTER DR
Practice Address - Street 2:HVMA-INTERNAL MEDICINE
Practice Address - City:PEABODY
Practice Address - State:MA
Practice Address - Zip Code:01960-2902
Practice Address - Country:US
Practice Address - Phone:978-977-4210
Practice Address - Fax:978-977-4226
Is Sole Proprietor?:No
Enumeration Date:2007-05-22
Last Update Date:2011-08-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
390200000X
MA242878207R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine
No390200000XStudent, Health CareStudent in an Organized Health Care Education/Training Program
Provider Identifiers
StateIdentifier IDID TypeIssuer
MA001907001Medicare PIN