Organization
ELAN WELLNESS CENTER, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MICHAEL SHEEHAN (ADMINISTRATOR)
(774) 992-7916
Entity
Organization
Contact information
Practice address
67 BRIGHAM ST, NEW BEDFORD, MA 02740-2211
(774) 992-7916
Mailing address
67 BRIGHAM ST, NEW BEDFORD, MA 02740-2211
Taxonomy
Speciality
Code
Description
License number
State
207RA0401X
Addiction Medicine (Internal Medicine) Physician
Primary
001167140
MA
Other
Enumeration date
04/28/2015
Last updated
04/28/2015
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