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Organization
SEACOAST MEDICAL ASSOCIATES, PC
Active
Organization
SEACOAST MEDICAL ASSOCIATES, PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ROBIN MACDONALD (OFFICE MANAGER)
(978) 462-1555
Entity
Organization
Contact information
Practice address
21 HIGHLAND AVE, SUITE 24, NEWBURYPORT, MA 01950-3872
(978) 462-1555
(978) 462-1560
Mailing address
21 HIGHLAND AVE, SUITE 24, NEWBURYPORT, MA 01950-3872
(978) 462-1555
(978) 462-1560
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
153766
MA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
9773649
—
MA
01
—
A30492
IND MEDICARE PROVIDER NUM
—
01
—
M15982
PTAN
—
Enumeration date
04/10/2007
Last updated
12/31/2014
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