Healthcare Provider Details

I. General information

NPI: 1386157089
Provider Name (Legal Business Name): WILLIAM J GETTY
Entity Type: Individual
Gender: Male
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 11/16/2017
Last Update Date: 11/16/2017
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

111 MIDDLETON RD
DANVERS MA
01923-4000
US

IV. Provider business mailing address

111 MIDDLETON RD
DANVERS MA
01923-4000
US

V. Phone/Fax

Practice location:
  • Phone: 978-739-7638
  • Fax: 978-774-4814
Mailing address:
  • Phone: 978-739-7638
  • Fax: 978-774-4814

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code101Y00000X
TaxonomyCounselor
License Number
License Number State

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: