| Neurosport | |
|
15 Linden Ave Salem MA 01970-4249 | |
| (508) 212-2074 | |
| Not Available |
| Full Name | Neurosport |
|---|---|
| Speciality | Clinic/center |
| Location | 15 Linden Ave, Salem, Massachusetts |
| Authorized Official Name and Position | Fred Willis (PRESIDENT & CEO) |
| Authorized Official Contact | 5082122074 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Neurosport 15 Linden Ave Salem MA 01970-4249 Ph: (508) 212-2074 | Neurosport 15 Linden Ave Salem MA 01970-4249 Ph: (508) 212-2074 |
| NPI Number | 1093328791 |
|---|---|
| Provider Enumeration Date | 08/24/2020 |
| Last Update Date | 08/24/2020 |
| Certification Date | 08/24/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1093328791 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261Q00000X | Clinic/center | () | Primary |
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