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Organization

UROLOGY ASSOCIATES OF ESSEX NORTH INC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
DONNA CARDARELLI (OFFICE MANAGER)
(978) 372-7751
Entity
Organization

Contact information

Practice address
288 GROVELAND ST, HAVERHILL, MA 01830-6669
(978) 372-7751
(978) 372-8534
Mailing address
288 GROVELAND ST, HAVERHILL, MA 01830-6669
(978) 372-7751
(978) 372-8534

Taxonomy

Speciality
Code
Description
License number
State
208800000X
Urology Physician
Primary

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
0008589
NEIGHBORHOOD HEALTH PLAN
MA
01
50586
FALLON
MA
01
600312
TUFTS
MA
01
89730
US HEALTHCARE
05
9700447
MA
01
99903083
MEDICAID
NH
01
M11611
BCBS
Enumeration date
06/22/2006
Last updated
07/09/2008
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