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NPI 1649040817 · Family Medicine Physician · Wenham, MA
Provider details
- NPI number
- 1649040817
- Entity type
- Organization
- Primary specialty
- Family Medicine PhysicianAllopathic & Osteopathic Physicians
- Organization subpart
- No
- Authorized official
- Susan Deluca, Director(978) 973-5470
Specialties & taxonomies
Allopathic & Osteopathic Physicians
- Health Service Clinic/Center261QH0100X
Ambulatory Health Care Facilities
Profile Score
Established profile(57/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
2 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
225 Main St Ste 3
Wenham, MA 01984-1459
Phone: (978) 973-5470
Fax: (978) 607-4138
Street-level locationGet directions
Mailing address
225 Main St Ste 3
Wenham, MA 01984-1459
Registry dates
- Enumerated
- 2024-01-08
- Last updated
- 2024-01-08
- Certified
- 2024-01-08
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.