Northeast Pho, INC
NPI #1952504706 in Beverly, Massachusetts
Provider Information
- NPI Number
- 1952504706
- Entity Type
- Organization
- Organization Name
- Northeast Pho, INC
- Primary Specialty
- Case Manager/Care Coordinator
- Enumeration Date
- Jun 8, 2007
- Last Updated
- Aug 22, 2020
Practice Location
- Address
- 55 TOZER RD
- City
- Beverly
- State
- Massachusetts
- ZIP Code
- 01915-5515
- Phone
- (978) 236-1744
Authorized Official
- Name
- DR. GREGORY BAZYLEWICZ, M.D.
- Title
- PRESIDENT
- Phone
- (978) 236-1744
Specialties & Taxonomy Codes
| Specialty |
|---|
| Case Manager/Care Coordinator |
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