Specialty |
Taxonomy Code | Specialty Code | Provider Type | |
Student Health |
261QS1000X |
| NPI Number | 1255671558 |
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| LBN Legal business name | SALEM STATE UNIVERSITY | ||||||||||||||||
| Authorized official | KIMBERLY DALY - (ASSOCIATE DIRECTOR) | ||||||||||||||||
| Entity | Organization | ||||||||||||||||
| Organization subpart 1 | Yes | ||||||||||||||||
| Enumeration date | 02/22/2013 | ||||||||||||||||
| Last updated | 02/22/2013 - About 13 years ago | ||||||||||||||||
| Identifiers |
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