| Beth Israel Lahey Health Primary Care, Inc. | |
|
Beverly 75 Herrick St Lahey Institute Of Urology Beverly MA 01915 | |
| (978) 927-0714 | |
| Not Available |
| Full Name | Beth Israel Lahey Health Primary Care, Inc. |
|---|---|
| Speciality | Internal Medicine |
| Location | Beverly 75 Herrick St, Beverly, Massachusetts |
| Authorized Official Name and Position | David L Longworth (CEO) |
| Authorized Official Contact | 7817448097 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Beth Israel Lahey Health Primary Care, Inc. 41 Mall Rd Burlington MA 01805-0001 Ph: (781) 744-8330 | Beth Israel Lahey Health Primary Care, Inc. Beverly 75 Herrick St Lahey Institute Of Urology Beverly MA 01915 Ph: (978) 927-0714 |
| NPI Number | 1508244195 |
|---|---|
| Provider Enumeration Date | 05/14/2015 |
| Last Update Date | 12/23/2019 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1508244195 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | (* (Not Available)) | Primary |
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