Northeast Physician Practice
NPI #1750319547 in Lynnfield, Massachusetts
Provider Information
- NPI Number
- 1750319547
- Entity Type
- Organization
- Organization Name
- Northeast Physician Practice
- Primary Specialty
- Clinic/Center - Primary Care
- Enumeration Date
- Jun 29, 2006
- Last Updated
- Oct 25, 2007
Practice Location
- Address
- 628 SALEM ST
- City
- Lynnfield
- State
- Massachusetts
- ZIP Code
- 01940-2340
- Phone
- (781) 598-4424
Authorized Official
- Name
- KIM ROUILLARD
- Title
- CREDENTIALING MANAGER
- Phone
- (978) 236-1713
Specialties & Taxonomy Codes
| Specialty |
|---|
| Clinic/Center - Primary Care — Primary Care |
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