Organization
BRIDGEWELL
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MICHELLE SIMONS MS (CLINICIAN)
(617) 549-1318
Entity
Organization
Contact information
Practice address
66 SILSBEE ST, LYNN, MA 01901-1414
(617) 549-1318
Mailing address
66 SILSBEE ST, LYNN, MA 01901-1414
(617) 549-1318
Taxonomy
Speciality
Code
Description
License number
State
261Q00000X
Clinic/Center
Primary
2295
MA
Other
Enumeration date
07/14/2016
Last updated
07/14/2016
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