Individual
CARL BETTENCOURT
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
67 WHARF ST, SALEM, MA 01970-5116
(781) 956-3322
Mailing address
67 WHARF ST, SALEM, MA 01970-5116
(781) 956-3322
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
31
MA
Other
Enumeration date
07/17/2015
Last updated
07/17/2015
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