Facts
- Status
- A
- Type
- Organization
- Enumeration date
- 2020-12-19
- Last updated
- 2021-01-26
Specialties
Licenses
The registry row did not include a license.
Location
- Practice location
- 63 LOCUST ST
- City
- DANVERS MA
- Postal code
- 019232240
- Phone
- 978-777-0011
Organization contact
- Name
- VELVY LIEBERMAN
- Title
- Manager
- Phone
- 8455444089
Medicare
- PECOS
- No PECOS enrollment row matched this NPI.
LEIE
The OIG NPI list is not in this build yet. Confirm on OIG's search.
Nearby
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Removal request
Public data from NPPES and CMS. Not a credentialing determination.