Organization
PULMONARY PHYSICIANS
Active
Organization subpart
No
Provider details
NPI number
Authorized official
KAREN MANEY (PRACTICE MANAGER)
(781) 595-3366
Entity
Organization
Contact information
Practice address
500 LYNNFIELD ST, LYNN, MA 01904
(781) 595-3366
Mailing address
500 LYNNFIELD ST, LYNN, MA 01904
Taxonomy
Speciality
Code
Description
License number
State
207RP1001X
Pulmonary Disease Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
9700005
—
MA
01
—
M17509
BLUE CROSS
MA
Enumeration date
09/20/2006
Last updated
08/22/2020
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