Northeast Healthcare System
General Acute Care Hospital, Children in Gloucester, MA. Organization (NPI-2).
NPI number1063680296
StatusActive
Last updated in NPPESFeb 11, 2008
Details
- NPI
- 1063680296
- Entity type
- Organization (NPI-2)
- Legal business name
- Northeast Healthcare System
- Organization subpart
- No
- Enumeration date
- Feb 11, 2008
- Last updated
- Feb 11, 2008
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 282NC2000X | General Acute Care Hospital, Children | 262899 | MA | Yes |
Practice location
32 Leslie O Johnson RdGloucester, MA 01930-2500
Phone 978-281-3901
Mailing address
10 Donald RdSouth Hamilton, MA 01982-1506
Phone 978-468-4646
Authorized official
Brian Gerald Orr
Pediatrician
9782835079
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