| Team Coordinating Agency | |
|
76 Winter St Haverhill MA 01830-5760 | |
| (978) 374-7605 | |
| Not Available |
| Full Name | Team Coordinating Agency |
|---|---|
| Speciality | Clinic/center |
| Location | 76 Winter St, Haverhill, Massachusetts |
| Authorized Official Name and Position | Susan Grady (AMBULATORY SERVICES DIVISION DIRECT) |
| Authorized Official Contact | 9783731181 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Team Coordinating Agency 76 Winter St Haverhill MA 01830-5760 Ph: () - | Team Coordinating Agency 76 Winter St Haverhill MA 01830-5760 Ph: (978) 374-7605 |
| NPI Number | 1275795551 |
|---|---|
| Provider Enumeration Date | 06/27/2008 |
| Last Update Date | 06/27/2008 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1275795551 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261Q00000X | Clinic/center | 111893 (Massachusetts) | Primary |
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