# NORTH SHORE EAR, NOSE & THROAT

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1134526429
- **Authorized official:** DR. RICHARD MUGGE M.D. (TREASURER)
- **Authorized official phone:** (978) 745-6601

## Contact information

- **Practice address:** 104 ENDICOTT ST, SUIRE 100, DANVERS, MA 01923-3623
- **Practice address phone:** (978) 745-6601
- **Mailing address:** 104 ENDICOTT ST, SUIRE 100, DANVERS, MA 01923-3623
- **Mailing address phone:** (978) 745-6601

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207YS0123X | Facial Plastic Surgery Physician | 229239 | MA | Yes |

## Other

- **Enumeration date:** 12/02/2014
- **Last updated:** 12/29/2021
