Provider Demographics
NPI:1609373596
Name:URGENT HELP CHELMSFORD PC
Entity Type:Organization
Organization Name:URGENT HELP CHELMSFORD PC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:SECRETARY AND TREASURER
Authorized Official - Prefix:
Authorized Official - First Name:PETTER
Authorized Official - Middle Name:MULLER
Authorized Official - Last Name:ETHOLM
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:617-510-4086
Mailing Address - Street 1:45 DRUM HILL RD
Mailing Address - Street 2:
Mailing Address - City:CHELMSFORD
Mailing Address - State:MA
Mailing Address - Zip Code:01824-1503
Mailing Address - Country:US
Mailing Address - Phone:978-446-7515
Mailing Address - Fax:
Practice Address - Street 1:45 DRUM HILL RD
Practice Address - Street 2:
Practice Address - City:CHELMSFORD
Practice Address - State:MA
Practice Address - Zip Code:01824-1503
Practice Address - Country:US
Practice Address - Phone:978-446-7515
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:URGENT HELP CHELMSFORD PC
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2018-04-09
Last Update Date:2018-04-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily MedicineGroup - Multi-Specialty