Organization
NEAAI - WPHO LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JORDAN SCOTT MD (PRESIDENT/PHYSICIAN)
(978) 537-4805
Entity
Organization
Contact information
Practice address
79 ERDMAN WAY STE 101, LEOMINSTER, MA 01453-1805
(978) 537-4805
(978) 537-2185
Mailing address
79 ERDMAN WAY STE 101, LEOMINSTER, MA 01453-1805
(978) 537-4805
(978) 537-2185
Taxonomy
Speciality
Code
Description
License number
State
207K00000X
Allergy & Immunology Physician
Primary
—
—
Other
Enumeration date
08/12/2020
Last updated
08/12/2020
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