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Individual

BRENDA CAROL MINOR

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
MD

Contact information

Practice address
ONE HUTCHINSON DR, DANVERS, MA 01923
(978) 739-6950
(978) 777-9274
Mailing address
1 HUTCHINSON DRIVE, DANVERS, MA 01923-3783
(978) 774-7171
(978) 739-6930

Taxonomy

Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
49522
MA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
6195075
MA
Enumeration date
05/25/2006
Last updated
02/13/2012
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