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Organization
NORTHEAST HOSPITAL CORPORATION
Active
Organization
NORTHEAST HOSPITAL CORPORATION
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. DENIS CONROY (CEO)
(978) 922-3000
Entity
Organization
Contact information
Practice address
85 HERRICK STREET, MEDICAL STAFF OFFICE, BEVERLY, MA 01915
(978) 922-3000
(978) 921-7048
Mailing address
85 HERRICK STREET, MEDICAL STAFF OFFICE, BEVERLY, MA 01915
(978) 922-3000
(978) 921-7048
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
—
MA
207R00000X
Internal Medicine Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
9709100
—
MA
01
—
M19581
BCBS MA
MA
Enumeration date
06/27/2008
Last updated
11/12/2014
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