Organization
RIVERSIDE SURGICAL OF LOWELL PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. WASSIM MAZRAANY MD (PRESIDENT)
(978) 458-4300
Entity
Organization
Contact information
Practice address
33 BARTLETT ST, SUITE 503, LOWELL, MA 01852-1334
(978) 458-4300
(978) 458-4311
Mailing address
33 BARTLETT ST, SUITE 503, LOWELL, MA 01852-1334
(978) 458-4300
(978) 458-4311
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
Primary
2358523
MA
Other
Enumeration date
11/11/2013
Last updated
11/11/2013
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