Organization
NORTHEAST PHYSICIAN PRACTICE
Active
Other names
Lynnfield Primary
Organization subpart
No
Provider details
NPI number
Authorized official
KIM ROUILLARD (CREDENTIALING MANAGER)
(978) 236-1713
Entity
Organization
Contact information
Practice address
628 SALEM ST, LYNNFIELD, MA 01940-2340
(781) 598-4424
(781) 598-0630
Mailing address
PO BOX 7091, BEVERLY, MA 01915-0091
(978) 922-3568
(978) 922-3267
Taxonomy
Speciality
Code
Description
License number
State
261QP2300X
Primary Care Clinic/Center
Primary
—
—
Other
Enumeration date
06/29/2006
Last updated
10/25/2007
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