Organization
BRIDGEWELL
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. SHERMAN SOL FOX MD (MEDICAL DIRECTOR)
(978) 750-6828
Entity
Organization
Contact information
Practice address
471 BROADWAY, LYNNFIELD, MA 01940-1401
(339) 883-2164
(339) 883-2187
Mailing address
471 BROADWAY, LYNNFIELD, MA 01940-1401
(339) 883-2164
(339) 883-2187
Taxonomy
Speciality
Code
Description
License number
State
163WC1500X
Community Health Registered Nurse
Primary
143022
MA
Other
Enumeration date
09/08/2009
Last updated
09/08/2009
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