Organization
NORTHEAST ENT, INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
WENDY B.R. STERN M.D. (M.D./PARTNER)
(508) 995-0700
Entity
Organization
Contact information
Practice address
191 BEDFORD ST, 2ND FLOOR, FALL RIVER, MA 02720-3011
(508) 995-0700
(508) 995-3070
Mailing address
299 FAUNCE CORNER RD, 2ND FLOOR, N DARTMOUTH, MA 02747-1218
(508) 207-4462
(508) 995-3070
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
110072097A
—
MA
Enumeration date
11/03/2010
Last updated
11/03/2010
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