Organization
WISDOM COMMUNITY HEALTH LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DECLAN FOTOH (OWNER)
(978) 338-7360
Entity
Organization
Contact information
Practice address
600 PINE ST, LOWELL, MA 01851-2309
(978) 338-7360
(978) 797-9682
Mailing address
265 CHELMSFORD ST STE 7, CHELMSFORD, MA 01824-2335
(978) 338-7360
(978) 797-9682
Taxonomy
Speciality
Code
Description
License number
State
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
—
—
Other
Enumeration date
04/20/2026
Last updated
04/20/2026
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