Organization
MASSACHUSETTS EAR NOSE AND THROAT ASSOCIATES 2 LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. CHRISTY HEFFERNAN CPC, CENTC (BILLING/CREDENTIALING MANAGER)
(978) 256-5557
Entity
Organization
Contact information
Practice address
747 MAIN ST STE 214, CONCORD, MA 01742-3330
(978) 256-5557
(978) 256-1835
Mailing address
321 BILLERICA RD STE 202, CHELMSFORD, MA 01824-4100
(978) 256-5557
(978) 256-1835
Taxonomy
Speciality
Code
Description
License number
State
207Y00000X
Otolaryngology Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
110102749A
—
MA
Enumeration date
05/14/2021
Last updated
03/15/2022
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