Organization
NEW SELF CORPORATION
Active
Organization subpart
No
Provider details
NPI number
Authorized official
GUY NAVARRA MD (OWNER)
(978) 462-1555
Entity
Organization
Contact information
Practice address
21 HIGHLAND AVE STE 6, NEWBURYPORT, MA 01950-3873
(978) 462-4929
Mailing address
21 HIGHLAND AVE STE 24, NEWBURYPORT, MA 01950-3873
(978) 462-1555
Taxonomy
Speciality
Code
Description
License number
State
261QM2500X
Medical Specialty Clinic/Center
Primary
—
—
Other
Enumeration date
06/28/2018
Last updated
06/28/2018
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