Organization
NEURONORWELL INC.
Active
Other names
NeuroSport
Organization subpart
No
Provider details
NPI number
Authorized official
MR. FRED WILLIS (PRESIDENT & CEO)
(508) 212-2074
Entity
Organization
Contact information
Practice address
15 LINDEN AVE, SALEM, MA 01970-4249
(508) 212-2074
Mailing address
15 LINDEN AVE, SALEM, MA 01970-4249
(508) 212-2074
Taxonomy
Speciality
Code
Description
License number
State
261Q00000X
Clinic/Center
Primary
—
—
Other
Enumeration date
08/24/2020
Last updated
08/24/2020
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