EDGEWOOD RETIREMENT COMMUNITY INC. NPI 1346564689

NPI Information

EDGEWOOD RETIREMENT COMMUNITY, INC. is a family nurse practitioner in North Andover, MA. EDGEWOOD RETIREMENT COMMUNITY, INC. NPI is 1346564689. The provider is registered as an organization entity type and is a single specialty group.
The provider Other Name Is Rokous Clinic.

The provider's business location address is:

575 OSGOOD ST
NORTH ANDOVER, MA
ZIP 01845-975
Phone: (978) 725-3300

The provider's authorized official is James Rosenman .
The authorized official title is Administrator and has the following contact phone number (978) 725-4102.

The CLIA number assigned to this NPI record is 22D1105393 - practitioner other with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 3/16/2010 and was last updated on 1/20/2012.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

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