Individual
MR. TERRY MANUS LINDBLOM
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PA-C
Contact information
Practice address
1600 CROWN COLONY DR, QUINCY, MA 02169-0913
(617) 509-4873
(617) 509-0206
Mailing address
14 DEER HOLLOW RD, NORTH ATTLEBORO, MA 02760-4377
(508) 761-4295
Taxonomy
Speciality
Code
Description
License number
State
363AM0700X
Medical Physician Assistant
Primary
2327
MA
Other
Enumeration date
06/05/2007
Last updated
07/08/2007
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