| Congenial Healthcare, Llc | |
|
1 Roosevelt Ave Ste 201 Peabody MA 01960-2227 | |
| (978) 740-2300 | |
| (978) 744-3993 |
| Full Name | Congenial Healthcare, Llc |
|---|---|
| Speciality | Internal Medicine |
| Location | 1 Roosevelt Ave Ste 201, Peabody, Massachusetts |
| Authorized Official Name and Position | Lisa Marie Enderle (PROVIDER ENROLLMENT) |
| Authorized Official Contact | 9787121681 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Congenial Healthcare, Llc 1 Roosevelt Ave Ste 201 Peabody MA 01960-2227 Ph: (978) 536-0215 | Congenial Healthcare, Llc 1 Roosevelt Ave Ste 201 Peabody MA 01960-2227 Ph: (978) 740-2300 |
| NPI Number | 1790241735 |
|---|---|
| Provider Enumeration Date | 02/14/2019 |
| Last Update Date | 02/14/2019 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1790241735 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | (* (Not Available)) | Primary |
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