Organization
1555 ST MANAGEMENT GROUP, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. SANJAYAN THIAGARAJAH (PRESIDENT)
(978) 851-5300
Entity
Organization
Contact information
Practice address
1555 MAIN ST, SUITE 203, TEWKSBURY, MA 01876-4741
(978) 851-5300
(978) 851-5335
Mailing address
1555 MAIN ST, SUITE 203, TEWKSBURY, MA 01876-4741
(978) 851-5300
(978) 851-5335
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
—
—
Other
Enumeration date
08/22/2008
Last updated
08/22/2008
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