ANDREJA PACKARD, MD, PC
Neurology at Erdman Way, Leominster, MA

License number
Massachusetts 209020
Category
Neurology
Type
Neurology
Owner
Name: ANDREJA PACKARD MD, PHD
Title: OWNER
Phone: (978) 537-0493
Address
Address
80 Erdman Way SUITE 202, Leominster, MA 01453
National Provider ID: 1952586034
LicenseFiles verified this license of Nov 7, 2017 at the National Plan and Provider Enumeration System.

Organization information

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ANDREJA PACKARD M.D., PC

80 Erdman Way, Leominster, MA 01453

Status:
Inactive
Registration:
Feb 21, 2007
Inactive since:
Jun 30, 2014
State ID:
000945094
Business type:
Professional Corporation
President:
Andreja Packard M.d (President), 80 Erdman Way STE 202, Leominster, MA 01453 (Physical)
Agent:
William Mandell,11 Beacon St, Boston, MA 02108 (Physical)

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