Greater Lowell Pet Pc

NPI 1407802804 - Clinic/Center - 261QR0200X

NPI Details
NPI 1407802804
Enumeration Date 05/26/2006
Last Updated 10/31/2011
Entity Type Healthcare Provider
Active Over 10 years ago
Authorized Information
Name MARK R MARK
Position CEO
Phone (978) 458-9872
Fax (978) 458-9876
Practice Location
295 VARNUM AVE
SUITE 200
LOWELL MA, 01854-2134, US
Phone (978) 458-9872
Fax (978) 458-9876
Business Location
354 MERRIMACK ST
ENTRANCE D
LAWRENCE MA, 01843-1754, US
Phone (978) 687-8187
Fax (978) 687-8185
Toxanomy
Taxonomy Code 261QR0200X
License State Massachusetts
License Number 67-0397
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According to our database, Greater Lowell Pet Pc NPI is 1407802804, taxonomy code is 261QR0200X and license number is 67-0397, license state is located at Massachusetts. Greater Lowell Pet Pc physically located at 295 Varnum Ave, Lowell MA, 01854-2134. NPI Number 1033115704 has the healthcare provider type.

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1407802804 NPI number is provided on an as is basis without warranty of any kind. 1407802804 is maintained by the National Plan & Provider Enumeration System. The contents of Greater Lowell Pet Pc are for informational purposes only.