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Organization

HENRY D HAYNES, LLC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
DR. HENRY D HAYNES MD (OWNER)
(781) 665-3500
Entity
Organization

Contact information

Practice address
50 TREMONT ST, APT 101, MELROSE, MA 02176-2721
(781) 665-3500
(781) 665-1114
Mailing address
50 TREMONT ST, SUITE 101, MELROSE, MA 02176-2721
(781) 665-3500
(781) 665-1114

Taxonomy

Speciality
Code
Description
License number
State
208600000X
Surgery Physician
Primary
30455
MA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
9741992
MA
Enumeration date
09/17/2007
Last updated
11/05/2007
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