Provider Demographics
NPI:1033301635
Name:ELIZABETH H. HANDEL, M.D.
Entity type:Organization
Organization Name:ELIZABETH H. HANDEL, M.D.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:MANAGER
Authorized Official - Prefix:MR
Authorized Official - First Name:MAURICE
Authorized Official - Middle Name:P
Authorized Official - Last Name:HANDEL
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:718-449-2850
Mailing Address - Street 1:1410 HIGHLAND AVE
Mailing Address - Street 2:
Mailing Address - City:NEEDHAM
Mailing Address - State:MA
Mailing Address - Zip Code:02492-2671
Mailing Address - Country:US
Mailing Address - Phone:781-444-3044
Mailing Address - Fax:781-444-3165
Practice Address - Street 1:1410 HIGHLAND AVE
Practice Address - Street 2:
Practice Address - City:NEEDHAM
Practice Address - State:MA
Practice Address - Zip Code:02492-2671
Practice Address - Country:US
Practice Address - Phone:781-444-3044
Practice Address - Fax:781-444-3165
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-08-16
Last Update Date:2008-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MA057884207R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal MedicineGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
MA3025675Medicaid
MAB77241Medicare UPIN
MAJ06573Medicare PIN