Alicorn INC
NPI #1285367706 in Salem, Massachusetts
Provider Information
- NPI Number
- 1285367706
- Entity Type
- Organization
- Organization Name
- Alicorn INC
- Primary Specialty
- Family Medicine
- Enumeration Date
- Jul 1, 2022
- Last Updated
- Jul 1, 2022
Practice Location
- Address
- 63 1/2 JEFFERSON AVE
- City
- Salem
- State
- Massachusetts
- ZIP Code
- 01970-2975
- Phone
- (202) 276-3074
Authorized Official
- Name
- PRAVEEN MOOGANUR
- Title
- CEO
- Phone
- (202) 276-3074
Specialties & Taxonomy Codes
| Specialty |
|---|
| Family Medicine |
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