Organization
MICHAEL J. OLDER, MD PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. MICHAEL J OLDER M.D. (PRESIDENT)
(978) 772-3547
Entity
Organization
Contact information
Practice address
190 GROTON RD, SUITE 190, AYER, MA 01432-1124
(978) 772-3547
(978) 772-0558
Mailing address
190 GROTON RD, SUITE 190, AYER, MA 01432-1124
(978) 772-3547
(978) 772-0558
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
71640
MA
Other
Enumeration date
10/01/2013
Last updated
10/01/2013
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