Organization
CORE PHYSICIAN SERVICES OF MASSACHUSETTS INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DEBRA R CRESTA (PRESIDENT)
(603) 580-6693
Entity
Organization
Contact information
Practice address
140 LINCOLN AVENUE, HAVERHILL, MA 01830
(978) 521-3676
Mailing address
PO BOX 367, EXETER, NH 03833
(603) 580-6009
(603) 580-7952
Taxonomy
Speciality
Code
Description
License number
State
2086S0129X
Vascular Surgery Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
9737456
—
MA
Enumeration date
01/19/2006
Last updated
08/22/2020
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