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Organization
WELL LIFE MEDICAL, PC
Active
Organization
WELL LIFE MEDICAL, PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DENISE CORDERO CMA, CPC (OFFICE MANAGER)
(978) 740-2300
Entity
Organization
Contact information
Practice address
55 HIGHLAND AVE, STE 101, SALEM, MA 01970-2100
(978) 740-2300
(978) 744-3993
Mailing address
55 HIGHLAND AVE, STE 101, SALEM, MA 01970-2100
(978) 740-2300
(978) 744-3993
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
076125
TUFTS
MA
01
—
64871
HPHC
—
05
—
9779809
—
MA
01
—
J13272
BCBS
MA
Enumeration date
10/11/2005
Last updated
11/04/2009
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