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Organization

ESSEX MEDICAL ASSOCIATES

Active
Organization subpart
No

Provider details

NPI number
Authorized official
DR. VANI SREE REDDI M.D. (OWNER)
(978) 725-3636
Entity
Organization

Contact information

Practice address
451 ANDOVER ST, SUITE 206, NORTH ANDOVER, MA 01845-5044
(978) 725-3636
(978) 327-6827
Mailing address
4 WORTHEN PL, ANDOVER, MA 01810-2846
(978) 327-6827

Taxonomy

Speciality
Code
Description
License number
State
261QP2300X
Primary Care Clinic/Center
Primary
154422
MA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
3181235
MA
05
A28560
MA
Enumeration date
10/17/2005
Last updated
12/04/2012
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