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Individual

ANTHONY LEM

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
PTA

Contact information

Practice address
291 INDEPENDENCE DR, CHESTNUT HILL, MA 02467-3628
(617) 541-6418
Mailing address
147 MILK ST, PROVIDER ENROLLMENT 9TH FLOOR, BOSTON, MA 02109-4806
(617) 559-8051

Taxonomy

Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
2459
MA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
B327
HARVARD PILGRIM
MA
Enumeration date
04/14/2006
Last updated
04/08/2009
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