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Organization

WACHUSETT EMERGENCY PHYSICIANS, PC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
BONNIE RYAN MD (PRESIDENT)
(978) 466-2428
Entity
Organization

Contact information

Practice address
60 HOSPITAL RD, LEOMINSTER, MA 01453-2205
(978) 466-2994
(978) 466-2993
Mailing address
60 HOSPITAL RD, LEOMINSTER, MA 01453-2205
(978) 466-2994
(978) 466-2993

Taxonomy

Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
601212
HPHC
MA
01
703641
TUFTS
MA
05
9749144
MA
01
M14339
BC/BS
MA
Enumeration date
08/09/2006
Last updated
03/16/2011
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