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Organization
VASCULAR AND VEIN PHYSICIAN GROUP PC
Active
Organization
VASCULAR AND VEIN PHYSICIAN GROUP PC
Active
Parent organization
VASCULAR AND VEIN ASSOCIATES PC
Organization subpart
Yes
Provider details
NPI number
Legal business name
VASCULAR AND VEIN ASSOCIATES PC
Authorized official
ARTHUR JAMES GONSALVES MD (PRESIDENT)
(978) 837-3317
Entity
Organization
Contact information
Practice address
380 MERRIMACK ST, SUITE 1C, METHUEN, MA 01844
(978) 837-3317
(978) 837-3318
Mailing address
380 MERRIMACK ST, SUITE 1C, METHUEN, MA 01844
(978) 837-3317
(978) 837-3318
Taxonomy
Speciality
Code
Description
License number
State
2086S0129X
Vascular Surgery Physician
Primary
—
MA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
110072850A
—
MA
05
—
30218369
—
NH
Enumeration date
01/03/2013
Last updated
10/18/2017
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