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Organization

COMMONWEALTH SURGICAL ASSOCIATES

Active
Organization subpart
No

Provider details

NPI number
Authorized official
KELLY YANNALFO (PRACTICE MANAGER)
(781) 279-1123
Entity
Organization

Contact information

Practice address
91 MONTVALE AVE, SUITE 208, STONEHAM, MA 02180-3623
(781) 279-1123
(781) 438-3034
Mailing address
91 MONTVALE AVE, SUITE 208, STONEHAM, MA 02180-3623
(781) 279-1123
(781) 438-3034

Taxonomy

Speciality
Code
Description
License number
State
2086S0129X
Vascular Surgery Physician
Primary

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
9712194
MA
Enumeration date
12/17/2009
Last updated
01/25/2018
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