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NPI Code Detail

MEDICARE: ENJC, INC

MEDICARE: ENJC, INC
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
11041C0700XClinical Social Worker
2235Z00000XSpeech-Language Pathologist

General Provider Information

NPI Number : 1023446242
Entity Type Code : Organization
Provider Name (Legal Business Name) : ENJC, INC
Provider Business Mailing Address
First Line : 144 NORTH RD STE 3100
Second Line :
City : SUDBURY
State : MA
Zip : 01776-1182
Country : US
Telephone Number : 978-610-6603
Fax Number :
Provider Business Practice Location Address
First Line : 144 NORTH RD STE 3100
Second Line :
City : SUDBURY
State : MA
Zip : 01776-1182
Country : US
Telephone Number : 978-610-6603
Fax Number :
Authorized Official
Title or Position : EXECUTIVE DIRECTOR
Name : NANCY CLEMENTS
Credential :
Telephone Number : 978-610-6603
Provider Enumeration Date : 10/25/2013
Last Update Date : 12/06/2023

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Directions to “ENJC, INC ” Practice Location

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