Organization
COASTAL MEDICAL ASSOCIATES, INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JACLYN VALANZOLA (PROVIDER ENROLLMENT)
(781) 681-0384
Entity
Organization
Contact information
Practice address
55 FOGG RD, BOX 97, WEYMOUTH, MA 02190-2432
(781) 624-8719
(781) 682-5627
Mailing address
141 LONGWATER DR STE 201, NORWELL, MA 02061-1621
(781) 681-0384
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
—
—
Other
Enumeration date
12/19/2013
Last updated
01/23/2024
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