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Organization
NORTH SHORE SPORTS MEDICAL CENTER OF DANVERS, LLC
Active
Organization
NORTH SHORE SPORTS MEDICAL CENTER OF DANVERS, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. MICHAEL J LOVETT PT (PHYSICAL THERAPIST)
(978) 777-3220
Entity
Organization
Contact information
Practice address
4 STATE ROAD, DANVERS, MA 01923
(978) 777-3220
(978) 774-5883
Mailing address
4 STATE RD, DANVERS, MA 01923-2567
(978) 777-3220
(978) 774-5883
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
5094
MA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0000Y65564
BLUE CROSS BLUE SHIELD
MA
01
—
626072
HARVARD PILGRIM HEALTHCAR
MA
01
—
711510
TUFTS
MA
Enumeration date
01/09/2007
Last updated
03/12/2013
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