Organization
NEVILLE MEDICAL ASSOCIATES INC. PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. RAJU NEVILLE NAVARATNAM M.D. (PRESIDENT)
(978) 475-4197
Entity
Organization
Contact information
Practice address
100 FRANKLIN ST, LAWRENCE, MA 01840-1132
(978) 682-8343
(978) 682-8343
Mailing address
19 ALGONQUIN AVE, ANDOVER, MA 01810-5527
(978) 475-4197
(978) 682-8343
Taxonomy
Speciality
Code
Description
License number
State
261Q00000X
Clinic/Center
Primary
74287
MA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
9768041
—
MA
Enumeration date
03/22/2007
Last updated
01/31/2011
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