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NPI Profile for CONGENIAL HEALTHCARE LLC in PEABODY, MA.
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Specialty |
Taxonomy Code | Specialty Code | Provider Type | |
Adult Medicine |
207QA0505X | 08 | Physician/Family Practice |
| NPI Number | 1124539382 |
|
| Status | Active | |
| Credentials | ||
| Entity | Individual | |
| Enumeration date | 10/16/2017 | |
| Last updated | 10/16/2017 - About 9 years ago | |
| Sole proprietor 1 | Not specified | |
| Identifiers | Not Available | |
| Hospital affiliation(s) | Not Available |
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CONGENIAL HEALTHCARE, LLC
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CONGENIAL HEALTHCARE, LLC