Organization · Type 2 NPI
Phoenix Healthcare, LLC
Addiction Medicine (Family Medicine) Physician · Gloucester, MA
NPI number
1679022651
Active
Practice location
61 Prospect St
Gloucester, MA 01930-5929
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Addiction Medicine (Family Medicine) Physician Primary | 207QA0401X | 216727 (MA) |
Addiction Medicine (Family Medicine) Physician: A family medicine physician who specializes in the diagnosis and treatment of addictions.
2 other providers at this address
About NPI 1679022651
Phoenix Healthcare, LLC's National Provider Identifier is 1679022651, issued on Oct 1, 2016. The primary taxonomy on file is Addiction Medicine (Family Medicine) Physician (207QA0401X), and the practice location is in Gloucester, MA. The record was last updated on Oct 1, 2016.