Organization
NORTH SHORE UROLOGICAL ASSOC., INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JOHN S LEDBETTER M.D. (PRESIDENT)
(978) 927-0714
Entity
Organization
Contact information
Practice address
75 HERRICK STREET, PARKHURST MEDICAL BUILDING, SUITE 219, BEVERLY, MA 01915
(978) 927-0714
(978) 927-9135
Mailing address
PARKHURST MEDICAL BUILDING, SUITE 219, 75 HERRICK STREET, BEVERLY, MA 01915
(978) 927-0714
(978) 927-9135
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
—
—
Other
Enumeration date
07/24/2006
Last updated
06/10/2008
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