Organization
CLIPPER CARDIOVASCULAR ASSOCIATES, INC
Active
Parent organization
CLIPPER CARDIOVASCULAR ASSOCIATES
Other names
dba Clipper Cardiovascular Associates
Organization subpart
Yes
Provider details
NPI number
Legal business name
CLIPPER CARDIOVASCULAR ASSOCIATES
Authorized official
MR. WILLIAM T JOHNSON (VICE PRESIDENT)
(804) 237-7760
Entity
Organization
Contact information
Practice address
112A PARKER ST, NEWBURYPORT, MA 01950-4008
(978) 462-1110
(978) 462-3889
Mailing address
112A PARKER ST, NEWBURYPORT, MA 01950-4008
(878) 462-1110
(978) 462-3889
Taxonomy
Speciality
Code
Description
License number
State
207RC0000X
Cardiovascular Disease Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
30214198
—
NH
05
—
9744011
—
MA
05
—
9788506
—
NH
01
—
M18764
BCBS OF MASS
MA
Enumeration date
10/17/2005
Last updated
04/27/2012
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