Organization
NORTHEAST HOSPITAL CORPORATION
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. DENIS S CONROY (CEO)
(978) 922-3000
Entity
Organization
Contact information
Practice address
480 MAPLE ST, CENTER FOR HEALTHY AGING, DANVERS, MA 01923-4065
(866) 479-3302
(978) 921-7048
Mailing address
85 HERRICK STREET, MEDICAL STAFF OFFICE, BEVERLY, MA 01915
(978) 816-2732
(978) 921-7048
Taxonomy
Speciality
Code
Description
License number
State
207RG0300X
Geriatric Medicine (Internal Medicine) Physician
Primary
—
—
Other
Enumeration date
03/20/2007
Last updated
11/12/2014
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