Organization
HOSPITALITY RESORTS
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. JOSEPH TOOLAN (EXECUTIVE DIRECTOR)
(978) 771-6621
Entity
Organization
Contact information
Practice address
71 PINE RIDGE RD, NORTH ANDOVER, MA 01845-2122
(978) 771-6621
Mailing address
71 PINE RIDGE RD, NORTH ANDOVER, MA 01845-2122
(978) 771-6621
Taxonomy
Speciality
Code
Description
License number
State
305S00000X
Point of Service
Primary
—
—
Other
Enumeration date
05/14/2013
Last updated
05/14/2013
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