Organization
S.R. AMESBURY, M.D., P.C.
Active
Other names
Mindful Medicine
Organization subpart
No
Provider details
NPI number
Authorized official
DR. SPENCER RALEIGH AMESBURY M.D. (OWNER)
(978) 922-3622
Entity
Organization
Contact information
Practice address
900 CUMMINGS CTR, SUITE 218U, BEVERLY, MA 01915-6198
(978) 922-3622
(978) 998-6796
Mailing address
900 CUMMINGS CTR, SUITE 218U, BEVERLY, MA 01915-6198
(978) 922-3622
(978) 998-6796
Taxonomy
Speciality
Code
Description
License number
State
207QG0300X
Geriatric Medicine (Family Medicine) Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
9737740
—
MA
Enumeration date
01/04/2007
Last updated
08/22/2020
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