Dutch Connection Llc | |
500 Cummings Ctr Ste 1800 Beverly MA 01915 | |
(207) 415-1307 | |
Not Available |
Full Name | Dutch Connection Llc |
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Speciality | Internal Medicine |
Location | 500 Cummings Ctr Ste 1800, Beverly, Massachusetts |
Authorized Official Name and Position | Joan Tryzelaar (OWNER/M.D.) |
Authorized Official Contact | 2074151307 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
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Dutch Connection Llc 35 United Dr Ste 102 West Bridgewater MA 02379-1027 Ph: (508) 238-8646 | Dutch Connection Llc 500 Cummings Ctr Ste 1800 Beverly MA 01915 Ph: (207) 415-1307 |
NPI Number | 1447703301 |
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Provider Enumeration Date | 07/27/2016 |
Last Update Date | 08/31/2018 |
Medicare PECOS PAC ID | 7214288935 |
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Medicare Enrollment ID | O20180919002498 |
Identifier | Type | State | Issuer |
---|---|---|---|
1447703301 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207R00000X | Internal Medicine | (* (Not Available)) | Primary |
Provider Name | Joan F Tryzelaar |
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Provider Type | Practitioner - Thoracic Surgery |
Provider Identifiers | NPI Number: 1679819031 PECOS PAC ID: 2264733294 Enrollment ID: I20180220001073 |
Markuns Medical Services Llc Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 500 Cummings Ctr Ste 1800, Beverly, MA 01915 Phone: 978-921-1210 Fax: 978-921-1534 | |
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Mindful Medicine Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 900 Cummings Ctr, Suite 218u, Beverly, MA 01915 Phone: 978-922-3622 Fax: 978-998-6796 | |
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