Individual
LINDA S SOUTHWICK
Active
Sole proprietor
Provider details
NPI number
Gender
F
Credential
PA
Contact information
Practice address
2 ESSEX CENTER DR, PEABODY, MA 01960-2902
(978) 977-4000
Mailing address
147 MILK ST, PROVIDER ENROLLMENT - 9TH FLOOR, BOSTON, MA 02109-4806
(617) 559-8053
(617) 421-3487
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
131
MA
363AM0700X
Medical Physician Assistant
Primary
131
MA
Other
Enumeration date
03/03/2006
Last updated
09/11/2025
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