Organization
ANDOVER EAR, NOSE & THROAT CTR, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. WILLIAM S POSTAL MD (PRESIDENT)
(978) 685-7550
Entity
Organization
Contact information
Practice address
198 MASSACHUSETTS AVE, #103, NORTH ANDOVER, MA 01845-4143
(978) 685-7550
Mailing address
198 MASSACHUSETTS AVE, #103, NORTH ANDOVER, MA 01845-4143
(978) 685-7550
Taxonomy
Speciality
Code
Description
License number
State
207Y00000X
Otolaryngology Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
110072121/A
—
MA
01
—
ANDO 040514
BC/BS NEW HAMPSHIRE
NH
01
—
M15965
MASSACHUSETTS BC/BS
MA
Enumeration date
08/02/2011
Last updated
08/02/2011
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