Medford Oral Surgery Associates, Inc. | |
689 Fellsway Medford MH 02155 | |
(781) 395-3100 | |
(781) 395-3058 |
Full Name | Medford Oral Surgery Associates, Inc. |
---|---|
Speciality | Dentist - Oral And Maxillofacial Surgery |
Location | 689 Fellsway, Medford, Marshall Islands |
Authorized Official Name and Position | Lawrence William Joyce (PRESIDENT) |
Authorized Official Contact | 7813953100 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
---|---|
Medford Oral Surgery Associates, Inc. 689 Fellsway Medford MA 02155-4931 Ph: (781) 395-3100 | Medford Oral Surgery Associates, Inc. 689 Fellsway Medford MH 02155 Ph: (781) 395-3100 |
NPI Number | 1467427567 |
---|---|
Provider Enumeration Date | 02/22/2006 |
Last Update Date | 04/07/2009 |
Identifier | Type | State | Issuer |
---|---|---|---|
1467427567 | NPI | - | NPPES |
70434 | Other | AETNA US HEALTHCARE | |
16170 | Other | HARVARD |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
1223S0112X | Dentist - Oral And Maxillofacial Surgery | 13669 (Massachusetts) | Primary |
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