Organization
CONGENIAL HEALTHCARE, LLC
Active
Organization
CONGENIAL HEALTHCARE, LLC
Active
Parent organization
CONGENIAL HEALTHCARE, LLC
Other names
Congenial Physician Organization
Organization subpart
Yes
Provider details
NPI number
Legal business name
CONGENIAL HEALTHCARE, LLC
Authorized official
LISA MARIE ENDERLE (PROVIDER ENROLLMENT)
(978) 712-1681
Entity
Organization
Contact information
Practice address
1 ROOSEVELT AVE STE 201, PEABODY, MA 01960-2227
(978) 740-2300
(978) 744-3993
Mailing address
1 ROOSEVELT AVE STE 201, PEABODY, MA 01960-2227
(978) 536-0215
(978) 536-0230
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
—
—
Other
Enumeration date
02/14/2019
Last updated
02/14/2019
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