Organization
NORTH SHORE VASCULAR, P.C.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JOHN THOMAS DOOLEY MD (PRESIDENT)
(978) 232-3555
Entity
Organization
Contact information
Practice address
900 CUMMINGS CTR, SUITE 118T, BEVERLY, MA 01915-6198
(978) 232-3555
Mailing address
900 CUMMINGS CTR, SUITE 118T, BEVERLY, MA 01915-6198
(978) 232-3555
Taxonomy
Speciality
Code
Description
License number
State
2086S0129X
Vascular Surgery Physician
Primary
152376
MA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
9737936
—
MA
Enumeration date
06/05/2007
Last updated
11/08/2007
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