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522 Commercial St Provincetown MA 02657-2400 | |
(508) 487-0455 | |
(508) 487-5435 |
Full Name | |
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Speciality | Psychiatry & Neurology - Psychiatry |
Location | 522 Commercial St, Provincetown, Massachusetts |
Authorized Official Name and Position | John Bennett Livingstone (DIRECTOR OF PSYCHIATRY) |
Authorized Official Contact | 5084870455 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
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522 Commercial St Provincetown MA 02657-2400 Ph: (508) 487-0455 | 522 Commercial St Provincetown MA 02657-2400 Ph: (508) 487-0455 |
NPI Number | 1013232644 |
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Provider Enumeration Date | 04/07/2010 |
Last Update Date | 04/07/2010 |
Identifier | Type | State | Issuer |
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1013232644 | NPI | - | NPPES |