Organization
ANDOVER SURGERY CENTER, LP
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JORGEN MADSEN (CEO)
(978) 475-2880
Entity
Organization
Contact information
Practice address
138 HAVERHILL ST, ANDOVER, MA 01810-1509
(978) 475-2880
(978) 475-7999
Mailing address
138 HAVERHILL ST, ANDOVER, MA 01810-1509
(978) 475-2880
(978) 475-7999
Taxonomy
Speciality
Code
Description
License number
State
261QA1903X
Ambulatory Surgical Clinic/Center
Primary
4278
MA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1214110
—
MA
Enumeration date
09/14/2006
Last updated
08/22/2020
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