Individual
DR. AMY BONNER ESDALE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
298 WASHINGTON ST, GLOUCESTER, MA 01930-4832
(978) 283-2726
(978) 283-0840
Mailing address
298 WASHINGTON ST, GLOUCESTER, MA 01930-4832
(978) 283-2726
(978) 283-0840
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
78116
MA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
6191045
—
MA
Enumeration date
10/10/2006
Last updated
01/20/2012
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