Organization
GAIA UROLOGY,PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. SUSAN E PURSELL MD (PRESIDENT/OWNER)
(978) 852-5589
Entity
Organization
Contact information
Practice address
480 MAPLE ST STE 103, DANVERS, MA 01923
(978) 739-1400
Mailing address
480 MAPLE ST STE 103, DANVERS, MA 01923-4065
(978) 739-1400
Taxonomy
Speciality
Code
Description
License number
State
208800000X
Urology Physician
Primary
—
—
Other
Enumeration date
02/08/2018
Last updated
05/14/2018
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