Provider Demographics
NPI:1023342193
Name:ASTRAZENECA LP
Entity type:Organization
Organization Name:ASTRAZENECA LP
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:EXECUTIVE DIRECTOR/GENERAL MANAGER
Authorized Official - Prefix:
Authorized Official - First Name:MARTY
Authorized Official - Middle Name:
Authorized Official - Last Name:NEALY
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:508-836-8595
Mailing Address - Street 1:50 OTIS ST
Mailing Address - Street 2:
Mailing Address - City:WESTBOROUGH
Mailing Address - State:MA
Mailing Address - Zip Code:01581-3323
Mailing Address - Country:US
Mailing Address - Phone:508-836-1100
Mailing Address - Fax:
Practice Address - Street 1:50 OTIS ST
Practice Address - Street 2:
Practice Address - City:WESTBOROUGH
Practice Address - State:MA
Practice Address - Zip Code:01581-3323
Practice Address - Country:US
Practice Address - Phone:508-836-1100
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:ASTRAZENECA LP
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2009-09-23
Last Update Date:2009-09-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MAL98627213261QX0100X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QX0100XAmbulatory Health Care FacilitiesClinic/CenterOccupational Medicine