Riverside Nephrology | |
50 Prospect St Suite301 Lawrence MA 01841-2841 | |
(978) 686-4343 | |
(978) 682-5191 |
Full Name | Riverside Nephrology |
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Speciality | Internal Medicine |
Location | 50 Prospect St, Lawrence, Massachusetts |
Authorized Official Name and Position | Eduardo Haddad (PRESIDENT) |
Authorized Official Contact | 9786864343 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
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Riverside Nephrology 50 Prospect St Suite301 Lawrence MA 01841-2841 Ph: (978) 686-4343 | Riverside Nephrology 50 Prospect St Suite301 Lawrence MA 01841-2841 Ph: (978) 686-4343 |
NPI Number | 1417237306 |
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Provider Enumeration Date | 08/23/2011 |
Last Update Date | 08/23/2011 |
Identifier | Type | State | Issuer |
---|---|---|---|
1417237306 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207R00000X | Internal Medicine | 46060 (Massachusetts) | Primary |
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