# CORE PHYSICIAN SERVICES OF MASSACHUSETTS INC

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

## Provider details

- **NPI number:** 1508846163
- **Authorized official:** DEBRA R CRESTA (PRESIDENT)
- **Authorized official phone:** (603) 580-6693

## Contact information

- **Practice address:** 140 LINCOLN AVENUE, HAVERHILL, MA 01830
- **Practice address phone:** (978) 521-3676
- **Mailing address:** PO BOX 367, EXETER, NH 03833
- **Mailing address phone:** (603) 580-6009
- **Mailing address fax:** (603) 580-7952

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 2086S0129X | Vascular Surgery Physician | — | NULL | Yes |
| 2086S0129X | Vascular Surgery Physician | — | — | Yes |

## Other

- **Enumeration date:** 01/19/2006
- **Last updated:** 08/22/2020

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 05 | — | 9737456 | — | MA |