Organization
LAHEY CLINIC, INC
Active
Parent organization
BETH ISRAEL LAHEY HEALTH INC
Organization subpart
Yes
Provider details
NPI number
Legal business name
BETH ISRAEL LAHEY HEALTH INC
Authorized official
SUSAN D MOFFATT-BRUCE MD (PRESIDENT)
(781) 744-8594
Entity
Organization
Contact information
Practice address
1 ESSEX CENTER DR, PEABODY, MA 01960-2901
(781) 744-8000
Mailing address
41 MALL RD, BURLINGTON, MA 01805-0001
(781) 744-8085
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
2778
MA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
9729097
—
MA
05
—
9770585
—
MA
01
—
CA5075
RAILROAD MEDICARE
—
Enumeration date
07/12/2006
Last updated
10/17/2024
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