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Organization

CDPH SERVICES LLC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
MRS. CHANDLER DIFFILY CNP (NURSE PRACTITIONER)
(978) 335-5164
Entity
Organization

Contact information

Practice address
40 SHATTUCK RD STE 220, ANDOVER, MA 01810-2456
(978) 494-4889
Mailing address
6 ELLSWORTH RD, ANDOVER, MA 01810-4256
(978) 335-5164

Taxonomy

Speciality
Code
Description
License number
State
261QM0801X
Mental Health Clinic/Center (Including Community Mental Health Center)
Primary

Other

Enumeration date
08/29/2023
Last updated
08/29/2023
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