GREATER LOWELL PET PC NPI 1407802804

NPI Information

GREATER LOWELL PET PC is a radiology clinic center in Lowell, MA. GREATER LOWELL PET PC NPI is 1407802804. The provider is registered as an organization entity type.
The provider Is Doing Business As New England Pet Of Greater Lowell.

The provider's business location address is:

295 VARNUM AVE
SUITE 200
LOWELL, MA
ZIP 01854-134
Phone: (978) 458-9872
Fax: (978) 458-9876

The provider's authorized official is Mark R Taylor .
The authorized official title is Ceo and has the following contact phone number (978) 687-2321.

The enumeration date for this NPI number is 5/26/2006 and was last updated on 10/31/2011.

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:

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

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