Organization
ST ANNES SURGICAL
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. JOHN J HASKELL (BILLING AGENT)
(401) 624-9030
Entity
Organization
Contact information
Practice address
901 S MAIN ST, SUITE 105, FALL RIVER, MA 02724-2943
(508) 679-1313
Mailing address
PO BOX 291, TIVERTON, RI 02878-0291
(401) 624-9030
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
Primary
59874
MA
Other
Enumeration date
08/30/2010
Last updated
08/31/2010
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