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Mary Smith

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NPI Number Detailed Information

Provider Information:

Name: Mary Smith
Gender: F
Provider License Number If Given: 030669-21

NPI Information:

NPI: 1356340913
Entity Type
(Individual or Organization):
1-ind
Enumeration Date: 7/18/2005

Last Update Date: 7/15/2008

Provider Business Mailing Address:

Address: 60 EAST ST SUITE 1400 LOWE II ANESTHESIOLOGY SERVICE INC
Methuen, MA 01844
Phone Number: 9786894601
Fax Number: 6038820556

Provider Business Practice Location Address:

Address: 60 EAST ST SUITE 1400 LOWE II ANESTHESIOLOGY SERVICE INC
Methuen, MA 01844
Phone Number: 9786894601
Fax Number: 6038820556

Provider Taxonomy:

Primary: 367500000X
Secondary (if any): 367500000X
State: MA

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