Provider Demographics
NPI:1558915272
Name:HARBOR HEALTH GROUP PC
Entity Type:Organization
Organization Name:HARBOR HEALTH GROUP PC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:DR
Authorized Official - First Name:SUZANNE
Authorized Official - Middle Name:
Authorized Official - Last Name:GOSSELIN
Authorized Official - Suffix:
Authorized Official - Credentials:DC
Authorized Official - Phone:978-281-4977
Mailing Address - Street 1:25 DUNCAN ST
Mailing Address - Street 2:
Mailing Address - City:GLOUCESTER
Mailing Address - State:MA
Mailing Address - Zip Code:01930-6001
Mailing Address - Country:US
Mailing Address - Phone:978-281-4977
Mailing Address - Fax:
Practice Address - Street 1:25 DUNCAN ST
Practice Address - Street 2:
Practice Address - City:GLOUCESTER
Practice Address - State:MA
Practice Address - Zip Code:01930-6001
Practice Address - Country:US
Practice Address - Phone:978-281-4977
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2019-07-31
Last Update Date:2019-07-31
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes111N00000XChiropractic ProvidersChiropractorGroup - Single Specialty