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Organization

SEACOAST AFFILIATED GROUP PRACTICE

Active
Organization subpart
No

Provider details

NPI number
Authorized official
MR. MARK L GOLDSTEIN (EVP/CFO)
(978) 463-1010
Entity
Organization

Contact information

Practice address
25 HIGHLAND AVE, NEWBURYPORT, MA 01950-3867
(978) 463-1010
(978) 463-1250
Mailing address
25 HIGHLAND AVE, NEWBURYPORT, MA 01950-3867
(978) 463-1010
(978) 463-1250

Taxonomy

Speciality
Code
Description
License number
State
261Q00000X
Clinic/Center
Primary

Other

Enumeration date
04/04/2012
Last updated
04/04/2012
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