Provider Demographics
NPI:1174932313
Name:MCKAR, LLC
Entity type:Organization
Organization Name:MCKAR, LLC
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:PHYSICIAN
Authorized Official - Prefix:MR
Authorized Official - First Name:RAMON
Authorized Official - Middle Name:A
Authorized Official - Last Name:SUAREZ-MARTINEZ
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:978-655-1696
Mailing Address - Street 1:170 COMMON ST
Mailing Address - Street 2:SUITE 305
Mailing Address - City:LAWRENCE
Mailing Address - State:MA
Mailing Address - Zip Code:01840-1558
Mailing Address - Country:US
Mailing Address - Phone:978-655-1696
Mailing Address - Fax:
Practice Address - Street 1:170 COMMON ST
Practice Address - Street 2:SUITE 204
Practice Address - City:LAWRENCE
Practice Address - State:MA
Practice Address - Zip Code:01840-1558
Practice Address - Country:US
Practice Address - Phone:617-888-5275
Practice Address - Fax:978-655-4525
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2014-08-12
Last Update Date:2017-09-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes103TP2701XBehavioral Health & Social Service ProvidersPsychologistGroup PsychotherapyGroup - Multi-Specialty