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Organization

MIDDLESEX CARDIOLOGY ASSOC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
SUSAN WAYSTACK (OFFICE MANAGER)
(781) 979-3440
Entity
Organization

Contact information

Practice address
50 ROWE ST, SUITE 600, MELROSE, MA 02176
(781) 979-3440
(781) 979-0258
Mailing address
50 ROWE ST, SUITE 600, MELROSE, MA 02176
(781) 979-3440
(781) 979-0258

Taxonomy

Speciality
Code
Description
License number
State
207RC0000X
Cardiovascular Disease Physician
Primary

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
600534
TUFTS
MA
05
9725016
MA
Enumeration date
12/12/2006
Last updated
08/22/2020
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