Carl Bettencourt

NPI #1588048656 in Salem, Massachusetts

Provider Information

NPI Number: 1588048656
Entity Type: Individual
Name: Carl Bettencourt
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Specialist
Enumeration Date: Jul 17, 2015
Last Updated: Jul 17, 2015

Practice Location

Address: 67 WHARF ST
City: Salem
State: Massachusetts
ZIP Code: 01970-5116
Phone: (781) 956-3322

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Specialist	174400000X	Primary

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