Organization
MIDDLESEX RECOVERY PROFESSIONAL CORPORATION
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. BRIAN WILLIAM O'CONNOR M.D. (PRESIDENT)
(781) 605-0944
Entity
Organization
Contact information
Practice address
405 PEARL ST, SUITE 4, MALDEN, MA 02148-6644
(781) 605-0944
(781) 605-3710
Mailing address
405 PEARL ST, SUITE 4, MALDEN, MA 02148-6644
(781) 605-0944
(781) 605-3710
Taxonomy
Speciality
Code
Description
License number
State
207QA0401X
Addiction Medicine (Family Medicine) Physician
Primary
72453
MA
Other
Enumeration date
01/27/2012
Last updated
01/27/2012
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