# SEACOAST AFFILIATED GROUP PRACTICE

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

## Provider details

- **NPI number:** 1518223437
- **Authorized official:** MR. MARK L GOLDSTEIN (EVP/CFO)
- **Authorized official phone:** (978) 463-1010

## Contact information

- **Practice address:** 25 HIGHLAND AVE, NEWBURYPORT, MA 01950-3867
- **Practice address phone:** (978) 463-1010
- **Practice address fax:** (978) 463-1250
- **Mailing address:** 25 HIGHLAND AVE, NEWBURYPORT, MA 01950-3867
- **Mailing address phone:** (978) 463-1010
- **Mailing address fax:** (978) 463-1250

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 261Q00000X | Clinic/Center | — | NULL | Yes |

## Other

- **Enumeration date:** 04/04/2012
- **Last updated:** 04/04/2012