Organization
MEDEVAL, CORP.
Active
Other names
Canna Care Docs
Organization subpart
No
Provider details
NPI number
Authorized official
STEPHANIE GLUCHACKI (FINANCE MANAGER)
(617) 943-0570
Entity
Organization
Contact information
Practice address
9 GERMAY DR, WILMINGTON, DE 19804-1155
(781) 382-8053
Mailing address
495 CENTRAL AVE, SEEKONK, MA 02771-3928
(617) 943-0570
Taxonomy
Speciality
Code
Description
License number
State
208D00000X
General Practice Physician
Primary
—
—
Other
Enumeration date
05/11/2015
Last updated
05/11/2015
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