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PATRICIA S DWYER

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
DO

Contact information

Practice address
104 ENDICOTT ST, SUITE LL05, DANVERS, MA 01923-3623
(978) 739-7709
(978) 739-7736
Mailing address
104 ENDICOTT ST, SUITE LL05, DANVERS, MA 01923-3623
(978) 739-7709
(978) 739-7736

Taxonomy

Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
13487
NH
207P00000X
Emergency Medicine Physician
Primary
253474
MA
207P00000X
Emergency Medicine Physician
34008734
OH

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
04Y012069NH01
ANTHEM
NH
05
110076042A
MA
05
2137712
MA
05
30226011
NH
01
7487855
AETNA
NH
01
AA95156
HARVARD PILGRIM
01
P00443538
RAILROAD MEDICARE
01
P00869040
RAILROAD MEDICARE
NH
Enumeration date
08/20/2006
Last updated
05/09/2016
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