Team Coordinating Agency

NPI 1275795551 - Clinic/Center - 261Q00000X

NPI Details
NPI 1275795551
Enumeration Date 06/27/2008
Last Updated 06/27/2008
Entity Type Healthcare Provider
Active Over 8 years ago
Authorized Information
Name SUSAN SUSAN
Position AMBULATORY SERVICES DIVISION DIRECT
Phone (978) 374-7605
Fax
Practice Location
76 WINTER ST
HAVERHILL MA, 01830-5760, US
Phone (978) 374-7605
Fax
Business Location
76 WINTER ST
HAVERHILL MA, 01830-5760, US
Phone
Fax
Toxanomy
Taxonomy Code 261Q00000X
License State Massachusetts
License Number 111893
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According to our database, Team Coordinating Agency NPI is 1275795551, taxonomy code is 261Q00000X and license number is 111893, license state is located at Massachusetts. Team Coordinating Agency physically located at 76 Winter St, Haverhill MA, 01830-5760. NPI Number 1033115704 has the healthcare provider type.

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1275795551 NPI number is provided on an as is basis without warranty of any kind. 1275795551 is maintained by the National Plan & Provider Enumeration System. The contents of Team Coordinating Agency are for informational purposes only.