Organization
LIFEGUARD MEDICAL GROUP, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JEFFREY R ZACK MD (MANAGER)
(401) 419-3826
Entity
Organization
Contact information
Practice address
45 BLUE BARQUE RD, CHILMARK, MA 02535-2706
(508) 696-6863
(508) 696-6864
Mailing address
PO BOX 1356, OAK BLUFFS, MA 02557-1356
(508) 696-6863
(508) 696-6864
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
—
—
Other
Enumeration date
04/30/2008
Last updated
05/10/2022
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