Organization
ELM TREE CLINIC, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
VICTOR V TOROSYAN (MEMBER)
(781) 354-3555
Entity
Organization
Contact information
Practice address
12 WOOD ST, LOWELL, MA 01851-1532
(617) 354-3555
(617) 481-4655
Mailing address
11 DEXTER AVE, WATERTOWN, MA 02472-4105
(617) 354-3555
(617) 481-4655
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
—
—
Other
Enumeration date
03/03/2017
Last updated
03/03/2017
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