North Shore Rehabilitation Associates Inc. | |
121 Broad Street Lynn MA 01901-1629 | |
(781) 593-9090 | |
(780) 593-9093 |
Full Name | North Shore Rehabilitation Associates Inc. |
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Speciality | Clinic/center - Multi-specialty |
Location | 121 Broad Street, Lynn, Massachusetts |
Authorized Official Name and Position | Alex Pyatigorskiy (PRESIDENT) |
Authorized Official Contact | 7815939093 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
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North Shore Rehabilitation Associates Inc. 121 Broad Street Lynn MA 01901-1629 Ph: (781) 593-9090 | North Shore Rehabilitation Associates Inc. 121 Broad Street Lynn MA 01901-1629 Ph: (781) 593-9090 |
NPI Number | 1407079759 |
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Provider Enumeration Date | 04/11/2007 |
Last Update Date | 05/31/2012 |
Identifier | Type | State | Issuer |
---|---|---|---|
1407079759 | NPI | - | NPPES |
9751441 | Medicaid | MA |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
261QM1300X | Clinic/center - Multi-specialty | (* (Not Available)) | Primary |
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