| Full Name | |
|---|---|
| Speciality | Internal Medicine |
| Location | 210 Market St, Lynn, Massachusetts |
| Authorized Official Name and Position | Jo-mary Koopman (PRESIDENT/CEO) |
| Authorized Official Contact | 7815982454 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
210 Market St Lynn MA 01901-1536 Ph: (781) 598-2454 | 210 Market St Lynn MA 01901-1536 Ph: (781) 598-2454 |
| NPI Number | 1528504651 |
|---|---|
| Provider Enumeration Date | 01/12/2017 |
| Last Update Date | 06/09/2022 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1528504651 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | (* (Not Available)) | Primary |
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