Linda S Southwick PA

NPI 1093782567 - Physician Assistant - 363A00000X

NPI Details
NPI 1093782567
Gender Female
Enumeration Date 03/03/2006
Last Updated 07/08/2007
Entity Type Individual
Active Over 10 years ago
Practice Location
2 ESSEX CENTER DR
PEABODY MA, 01960-2902, US
Phone (978) 977-4000
Fax
Business Location
147 MILK ST
PROVIDER ENROLLMENT - 9TH FLOOR
BOSTON MA, 02109-4806, US
Phone (617) 559-8053
Fax (617) 421-3487
Toxanomy
Taxonomy Code 363A00000X
License State Massachusetts
License Number 131
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According to our database, Linda S Southwick PA NPI is 1093782567, taxonomy code is 363A00000X and license number is 131, license state is located at Massachusetts. Linda S Southwick PA physically located at 2 Essex Center Dr, Peabody MA, 01960-2902. NPI Number Linda S Southwick PA has the Individual type.

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1093782567 NPI number is provided on an as is basis without warranty of any kind. 1093782567 is maintained by the National Plan & Provider Enumeration System. The contents of Linda S Southwick PA are for informational purposes only.