Organization
ANDOVER EYE ASSOCIATES, INC
Active
Organization
ANDOVER EYE ASSOCIATES, INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. ELLYN DEMPSEY (BILLING MANAGER)
(978) 475-0705
Entity
Organization
Contact information
Practice address
138 HAVERHILL ST, SUITE 104, ANDOVER, MA 01810-1509
(978) 475-0705
(978) 475-0008
Mailing address
138 HAVERHILL ST, SUITE 104, ANDOVER, MA 01810-1509
(978) 475-0705
(978) 475-0008
Taxonomy
Speciality
Code
Description
License number
State
207W00000X
Ophthalmology Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
706615
TUFTS
—
05
—
9731555
—
MA
01
—
CN0909
RAILROAD MEDICARE
MA
Enumeration date
07/28/2006
Last updated
04/09/2009
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