Organization
MELROSE WAKEFIELD EMERGENCY PHYSICIANS, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ELIJAH BERG MD (PRESIDENT)
(781) 280-1500
Entity
Organization
Contact information
Practice address
585 LEBANON ST, MELROSE, MA 02176-3225
(781) 280-1736
Mailing address
8 OAK PARK DR, BEDFORD, MA 01730-1414
(781) 280-1736
(781) 276-6404
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
—
—
363A00000X
Physician Assistant
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
9785205
—
MA
01
—
M17231
BCBS
MA
Enumeration date
05/23/2006
Last updated
02/02/2012
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