New England Medical Specialist

NPI 1083834766 - Specialist - 174400000X

NPI Details
NPI 1083834766
Enumeration Date 04/26/2007
Last Updated 07/08/2007
Entity Type Healthcare Provider
Active Over 9 years ago
Authorized Information
Name SUDARSHAN SUDARSHAN
Position M.D
Phone (978) 975-0990
Fax (978) 975-7803
Practice Location
160 MERRIMACK ST
METHUEN MA, 01844-6117, US
Phone (978) 975-0990
Fax (978) 975-7803
Business Location
160 MERRIMACK ST
METHUEN MA, 01844-6117, US
Phone (978) 975-0990
Fax (978) 975-7803
Toxanomy
Taxonomy Code 174400000X
License State Massachusetts
License Number 53581
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According to our database, New England Medical Specialist NPI is 1083834766, taxonomy code is 174400000X and license number is 53581, license state is located at Massachusetts. New England Medical Specialist physically located at 160 Merrimack St, Methuen MA, 01844-6117. NPI Number 1033115704 has the healthcare provider type.

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1083834766 NPI number is provided on an as is basis without warranty of any kind. 1083834766 is maintained by the National Plan & Provider Enumeration System. The contents of New England Medical Specialist are for informational purposes only.