Organization
CHERRY STREET PHYSICAL MEDICINE PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. WILLIAM NOLAN (CHIEF OPERATING OFFICER)
(978) 774-4468
Entity
Organization
Contact information
Practice address
15 CHERRY ST, DANVERS, MA 01923-2880
(978) 774-4468
Mailing address
15 CHERRY ST, DANVERS, MA 01923-2880
(978) 774-4468
Taxonomy
Speciality
Code
Description
License number
State
208100000X
Physical Medicine & Rehabilitation Physician
Primary
248773
MA
Other
Enumeration date
06/28/2016
Last updated
06/28/2016
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