Organization
MELROSE WAKEFIELD CARDIAC TESTING PARTNERSHIP
Active
Organization subpart
No
Provider details
NPI number
Authorized official
BRUCE G. WATROUS MD (PRESIDENT MELROSE WAKEFIELD TESTIN)
(781) 942-0606
Entity
Organization
Contact information
Practice address
585 LEBANON STREET (MELROSE WAKEFIELD HOSPITAL), MELROSE, MA 02176-3225
(781) 979-6351
(781) 979-6373
Mailing address
1715 BROADWAY, ATTN: MELROSE CARDRIAC TESTING PARTNERSHIP, SAUGUS, MA 01906-4703
(781) 979-6351
(781) 979-6373
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
—
—
207R00000X
Internal Medicine Physician
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
9758372
—
MA
01
—
M14655
MA BLUE SHIELD
MA
Enumeration date
01/17/2007
Last updated
08/12/2008
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