Organization
MASS MEDICAL GROUP, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
HAMID REZA DANESH MD (MEMBER)
(978) 888-3147
Entity
Organization
Contact information
Practice address
200 CENTRAL ST, SUITE #2, LOWELL, MA 01852-2201
(978) 446-7982
(866) 897-3951
Mailing address
200 CENTRAL ST, UNIT 2, LOWELL, MA 01852-2201
(978) 446-7982
(866) 897-3951
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
223435
MA
261QM2500X
Medical Specialty Clinic/Center
223435
MA
Other
Enumeration date
05/22/2015
Last updated
09/07/2016
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