Organization
DHA ENDOSCOPY LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JULIE B HILL (ADMINISTRATOR)
(781) 835-2111
Entity
Organization
Contact information
Practice address
91 MONTVALE AVE STE 103, STONEHAM, MA 02180-3649
(781) 835-2111
(781) 438-4829
Mailing address
91 MONTVALE AVE STE 103, STONEHAM, MA 02180-3649
(781) 835-2111
(781) 438-4829
Taxonomy
Speciality
Code
Description
License number
State
261QA1903X
Ambulatory Surgical Clinic/Center
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
661985
TUFTS HEALTH PLANS
MA
01
—
909753
HARVARD PILGRIM HEALTH
MA
01
—
M88039
BLUE CROSS & BLUE SHIELD
MA
Enumeration date
07/10/2006
Last updated
11/04/2025
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