| Northeast Hospital Corportation | |
|
85 Herrick Street Medical Staff Office Beverly MA 01915 | |
| (978) 922-3000 | |
| (978) 921-7048 |
| Full Name | Northeast Hospital Corportation |
|---|---|
| Speciality | Psychiatry & Neurology - Psychiatry |
| Location | 85 Herrick Street, Beverly, Massachusetts |
| Authorized Official Name and Position | Denis Conroy (CEO) |
| Authorized Official Contact | 9789223000 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Northeast Hospital Corportation 85 Herrick Street Medical Staff Office Beverly MA 01915 Ph: (978) 922-3000 | Northeast Hospital Corportation 85 Herrick Street Medical Staff Office Beverly MA 01915 Ph: (978) 922-3000 |
| NPI Number | 1679807226 |
|---|---|
| Provider Enumeration Date | 09/30/2009 |
| Last Update Date | 11/12/2014 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1679807226 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 2084P0800X | Psychiatry & Neurology - Psychiatry | (* (Not Available)) | Primary |
| 2084P0800X | Psychiatry & Neurology - Psychiatry | MA210779 (Massachusetts) | Secondary |
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