Organization
LAHEY HOSPITAL AND MEDICAL CENTER
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DAVID LONGWORTH MD (CEO)
(781) 744-9803
Entity
Organization
Contact information
Practice address
4 BENNETT RD, MARBLEHEAD, MA 01945-1402
(978) 335-2805
Mailing address
4 BENNETT RD, MARBLEHEAD, MA 01945-1402
Taxonomy
Speciality
Code
Description
License number
State
261QM0850X
Adult Mental Health Clinic/Center
255349
MA
282N00000X
General Acute Care Hospital
Primary
255349
MA
Other
Enumeration date
02/03/2017
Last updated
03/04/2021
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