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Massachusetts Ent Consultants LLC

Otolaryngology in Woburn, MA. Organization (NPI-2).

NPI number1184118564
StatusActive
Last updated in NPPESJun 19, 2018

Details

NPI
1184118564
Entity type
Organization (NPI-2)
Legal business name
Massachusetts Ent Consultants LLC
Organization subpart
Yes
Enumeration date
Jun 19, 2018
Last updated
Jun 19, 2018

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
207Y00000X Otolaryngology223562MAYes

Practice location

100 Sylvan Rd Ste 750
Woburn, MA 01801-1852

Phone 781-937-3001 · Fax 781-937-3070

Mailing address

100 Sylvan Rd Ste 750
Woburn, MA 01801-1852

Phone 781-937-3001 · Fax 781-937-3070

Other practice locations

1021 Main St Ste 105
Winchester, MA 01890-1971

Phone 781-937-3001 · Fax 781-937-3070

Authorized official

Thomas H. Costello
Manager
7819373001

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Other Otolaryngology Physician providers in Woburn, MA

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