Organization
TEWKSBURY MEDICAL GROUP, P.C.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. CAROLYN HASKELL D.O. (PRESIDENT)
(978) 458-6900
Entity
Organization
Contact information
Practice address
600 CLARK RD, TEWKSBURY, MA 01876-1699
(978) 458-6900
(978) 458-1670
Mailing address
600 CLARK RD, TEWKSBURY, MA 01876-1699
(978) 458-6900
(978) 458-1670
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
202775
MA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
9731580
—
MA
01
—
M18372
BCBS
MA
Enumeration date
03/08/2006
Last updated
03/27/2008
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