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Northeast Hospital Corporation

Internal Medicine, Geriatric Medicine in Danvers, MA. Organization (NPI-2).

NPI number1164547063
StatusActive
Last updated in NPPESNov 12, 2014

Details

NPI
1164547063
Entity type
Organization (NPI-2)
Legal business name
Northeast Hospital Corporation
Organization subpart
No
Enumeration date
Mar 20, 2007
Last updated
Nov 12, 2014

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
207RG0300X Internal Medicine, Geriatric Medicine––Yes

Practice location

480 Maple St
Center For Healthy Aging
Danvers, MA 01923-4065

Phone 866-479-3302 · Fax 978-921-7048

Mailing address

85 Herrick Street
Medical Staff Office
Beverly, MA 01915

Phone 978-816-2732 · Fax 978-921-7048

Authorized official

Denis S Conroy
Ceo
9789223000

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