Provider Demographics
NPI:1134244528
Name:MACGREGOR, BERNARD W (PA-C)
Entity type:Individual
Prefix:MR
First Name:BERNARD
Middle Name:W
Last Name:MACGREGOR
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Gender:M
Credentials:PA-C
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Mailing Address - Street 1:264 PLEASANT ST
Mailing Address - Street 2:
Mailing Address - City:CONCORD
Mailing Address - State:NH
Mailing Address - Zip Code:03301-2551
Mailing Address - Country:US
Mailing Address - Phone:603-224-3368
Mailing Address - Fax:603-224-7815
Practice Address - Street 1:575 TURNPIKE ST
Practice Address - Street 2:SUITE 11
Practice Address - City:NORTH ANDOVER
Practice Address - State:MA
Practice Address - Zip Code:01845-5924
Practice Address - Country:US
Practice Address - Phone:978-794-1946
Practice Address - Fax:978-975-3925
Is Sole Proprietor?:No
Enumeration Date:2007-03-21
Last Update Date:2015-07-09
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Provider Licenses
StateLicense IDTaxonomies
MA606363A00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363A00000XPhysician Assistants & Advanced Practice Nursing ProvidersPhysician Assistant