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Organization

PRINCIPIUM, LLC

Active
Other names
Principium
Organization subpart
No

Provider details

NPI number
Authorized official
MARYANN MATHIEU (BILLING MANAGER)
(508) 418-6888
Entity
Organization

Contact information

Practice address
128 MAIN ST STE 5, STURBRIDGE, MA 01566-1556
(508) 659-8585
(508) 659-8586
Mailing address
128 MAIN ST STE 5, STURBRIDGE, MA 01566-1556
(508) 659-8585
(508) 659-8586

Taxonomy

Speciality
Code
Description
License number
State
2084A0401X
Addiction Medicine (Psychiatry & Neurology) Physician
Primary

Other

Enumeration date
11/12/2021
Last updated
11/12/2021
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