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NPI Provider: 1770581555
Contact Name: Breslin P Kevin
Position: Executive VP
Phone: (201) 242-4004
199 Andover Street Operating Company, Llc Information:
199 Andover Street Operating Company, Llc organization have npi 1770581555, taxonomy code is 314000000X with license number is 900 in . This Business address located in 199 Andover St, Peabody, MA 19601 Massachusetts. Get directions of 199 Andover Street Operating Company, Llc.
Practice Location
Address: 199 Andover St, Peabody, MA 19601
Phone: (978) 531-0772
Business Location
Address: 199 Andover St, Peabody, MA 19601
Phone: (978) 531-0772
Fax: (978) 532-4134
Taxonomy
Taxonomy Code: 314000000X
License Number: 900
License Number of State: MA
Primary Taxonomy Switch: Y
Enumeration Date: 7/14/2005
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