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Individual

ELIZARDO P CARANDANG

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
M.D.

Contact information

Practice address
354 MERRIMACK ST STE 1, LAWRENCE, MA 01843-1755
(978) 687-2321
(978) 722-7287
Mailing address
354 MERRIMACK ST, LAWRENCE, MA 01843-1754
(978) 687-2321
(978) 722-7287

Taxonomy

Speciality
Code
Description
License number
State
208100000X
Physical Medicine & Rehabilitation Physician
Primary
52974
MA
208100000X
Physical Medicine & Rehabilitation Physician
6895
NH

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
0003754
NHP
MA
01
0102641Y0MA01
ANTHEM
NH
01
1483069001
CIGNA
MA
01
23582
FCHP
MA
01
4390633
AETNA
MA
01
715266
THP
MA
01
80714
HPHC
MA
01
J03232
BCBSMA
MA
Enumeration date
08/26/2005
Last updated
03/04/2020
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