Organization
PEABODY SURGERY CENTER, LLC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. DAVID J. WAGES M.D. (MANAGING MEMBER)
(978) 531-6966
Entity
Organization
Contact information
Practice address
4 CENTENNIAL DR, SUITE 102, PEABODY, MA 01960-7935
(978) 531-6966
Mailing address
4 CENTENNIAL DR, SUITE 102, PEABODY, MA 01960-7935
(978) 531-6966
Taxonomy
Speciality
Code
Description
License number
State
261QA1903X
Ambulatory Surgical Clinic/Center
Primary
—
—
Other
Enumeration date
06/09/2010
Last updated
06/09/2010
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