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Organization
CONCORD OB/GYN ASSOCIATES PC
Active
Organization
CONCORD OB/GYN ASSOCIATES PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
AVRA JORDANO-ALTER M.D. (PRESIDENT)
(978) 369-7627
Entity
Organization
Contact information
Practice address
59 ORNAC, SUITE 1, CONCORD, MA 01742-3317
(978) 369-7627
(976) 371-2240
Mailing address
59 ORNAC, SUITE 1, CONCORD, MA 01742-3317
(978) 369-7627
(976) 371-2240
Taxonomy
Speciality
Code
Description
License number
State
207V00000X
Obstetrics & Gynecology Physician
Primary
—
NULL
207V00000X
Obstetrics & Gynecology Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
9725733
—
MA
Enumeration date
08/16/2005
Last updated
10/29/2008
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