Andrew James Maag
Individual provider Active NPI Counselor · Marion, MA
NPI 1003365552 · NPPES record last updated Sep 26, 2016
Key facts
- NPI
- 1003365552
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Counselor 101Y00000X
- Practice address
- 49 Ichabod LN
Marion, MA 02738-1003 - Phone
- (857) 939-1653
- NPI assigned
- Sep 26, 2016
- Sex
- Male
- Sole proprietor
- No
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Counselor | 101Y00000X | Yes |
Addresses
Primary practice location
49 Ichabod LN
Marion, MA 02738-1003
Mailing address
49 Ichabod LN
Marion, MA 02738-1003
Phone (857) 939-1653
Other providers in Marion, MA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Sep 26, 2016. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.