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Organization
CHERRY STREET PHYSICAL MEDICINE PC
Active
Organization
CHERRY STREET PHYSICAL MEDICINE PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. WILLIAM NOLAN (CHIEF OPERATING OFFICER)
(978) 774-4468
Entity
Organization
Contact information
Practice address
15 CHERRY ST, DANVERS, MA 01923-2880
(978) 774-4468
Mailing address
15 CHERRY ST, DANVERS, MA 01923-2880
(978) 774-4468
Taxonomy
Speciality
Code
Description
License number
State
208100000X
Physical Medicine & Rehabilitation Physician
Primary
248773
MA
Other
Enumeration date
06/28/2016
Last updated
06/28/2016
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