Organization
CEDARDALE INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JUDY WENTWORTH (CONTROLLER)
(978) 373-1596
Entity
Organization
Contact information
Practice address
931 BOSTON RD, HAVERHILL, MA 01835-6927
(978) 373-1596
Mailing address
931 BOSTON RD, HAVERHILL, MA 01835-6927
(978) 373-1596
Taxonomy
Speciality
Code
Description
License number
State
261QH0100X
Health Service Clinic/Center
Primary
000003634
MA
Other
Enumeration date
09/30/2014
Last updated
12/23/2014
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