CORE PHYSICIAN SERVICES OF MASSACHUSETTS INC NPI 1508846163

NPI Information

CORE PHYSICIAN SERVICES OF MASSACHUSETTS INC is a vascular surgery surgery in Haverhill, MA. The provider is a surgeon with expertise in the management of surgical disorders of the blood vessels, excluding the intracranial vessels or the heart. CORE PHYSICIAN SERVICES OF MASSACHUSETTS INC NPI is 1508846163. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

140 LINCOLN AVENUE
HAVERHILL, MA
ZIP 01830
Phone: (978) 521-3676

The provider's authorized official is Debra R Cresta .
The authorized official title is President and has the following contact phone number (603) 580-6693.

The CLIA number assigned to this NPI record is 30D0087286 - physician office with a certificate type of Certificate for Provider-Performed Microscopy Procedures (PPMP).

The enumeration date for this NPI number is 1/19/2006 and was last updated on 8/22/2020.

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

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