Individual
CAMDEN TOWNE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
147 PELHAM ST, METHUEN, MA 01844-2060
(978) 683-3491
Mailing address
34 HAVERHILL ST, LAWRENCE, MA 01841-2884
(978) 686-0090
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
1016674
MA
Other
Enumeration date
06/17/2020
Last updated
08/30/2023
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