Organization
CLASSIC HEALTHCARE MEDICAL GROUP LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. STEVEN VAN DAM M.D. (MEDICAL DIRECTOR)
(781) 559-0230
Entity
Organization
Contact information
Practice address
300 CHESTNUT ST, STE 1400, NEEDHAM, MA 02492-2497
(781) 559-0230
(781) 559-0231
Mailing address
300 CHESTNUT ST, STE 1400, NEEDHAM, MA 02492-2497
(781) 559-0230
(781) 559-0231
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
205080
MA
Other
Enumeration date
01/05/2014
Last updated
01/05/2014
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