Northeast Hospital Corporation | |
480 Maple St Center For Healthy Aging Danvers MA 01923-4065 | |
(866) 479-3302 | |
(978) 921-7048 |
Full Name | Northeast Hospital Corporation |
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Speciality | Internal Medicine - Geriatric Medicine |
Location | 480 Maple St, Danvers, Massachusetts |
Authorized Official Name and Position | Denis S Conroy (CEO) |
Authorized Official Contact | 9789223000 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
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Northeast Hospital Corporation 85 Herrick Street Medical Staff Office Beverly MA 01915 Ph: (978) 816-2732 | Northeast Hospital Corporation 480 Maple St Center For Healthy Aging Danvers MA 01923-4065 Ph: (866) 479-3302 |
NPI Number | 1164547063 |
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Provider Enumeration Date | 03/20/2007 |
Last Update Date | 11/12/2014 |
Identifier | Type | State | Issuer |
---|---|---|---|
1164547063 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207RG0300X | Internal Medicine - Geriatric Medicine | (* (Not Available)) | Primary |
Center For Healthy Aging Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 480 Maple St, Center For Healthy Aging, Danvers, MA 01923 Phone: 866-479-3302 Fax: 978-921-7048 | |
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