Basic Information
| Provider Information | |||||||||
| NPI: | 1760922751 | ||||||||
| EntityType: | 2 | ||||||||
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| OrganizationName: | WHITTIER REHABILITATION INPATIENT SPECIALISTS PLLC | ||||||||
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| Mailing Information | |||||||||
| Address1: | 47 HIGH ST | ||||||||
| Address2: | STE 101 | ||||||||
| City: | NORTH ANDOVER | ||||||||
| State: | MA | ||||||||
| PostalCode: | 018452637 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 9782584734 | ||||||||
| FaxNumber: | 8667225233 | ||||||||
| Practice Location | |||||||||
| Address1: | 145 WARD HILL AVE | ||||||||
| Address2: | |||||||||
| City: | BRADFORD | ||||||||
| State: | MA | ||||||||
| PostalCode: | 018356928 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 9782584734 | ||||||||
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| Other Information | |||||||||
| ProviderEnumerationDate: | 02/24/2017 | ||||||||
| LastUpdateDate: | 02/24/2017 | ||||||||
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| AuthorizedOfficialLastName: | JALEEL | ||||||||
| AuthorizedOfficialFirstName: | MOHAMMED | ||||||||
| AuthorizedOfficialMiddleName: | A | ||||||||
| AuthorizedOfficialTitleorPosition: | OWNER | ||||||||
| AuthorizedOfficialTelephone: | 9782584734 | ||||||||
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| IsOrganizationSubpart: | N | ||||||||
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| AuthorizedOfficialNamePrefix: | DR. | ||||||||
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| AuthorizedOfficialCredential: | M.D. | ||||||||
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Taxonomy Information
| Taxonomy | License | State | Switch | TaxonomyGroup | TaxonomyType | TaxonomyClass | SubSpecialty | 207R00000X | Y | 193200000X MULTI-SPECIALTY GROUP | Allopathic & Osteopathic Physicians | Internal Medicine |
No ID Information.