Provider Demographics
NPI:1780307918
Name:ASEDA SUBOXONE & WELLNESS LLC
Entity type:Organization
Organization Name:ASEDA SUBOXONE & WELLNESS LLC
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:FAMILY NURSE PRACTITIONER
Authorized Official - Prefix:
Authorized Official - First Name:BARBARA
Authorized Official - Middle Name:DWUMFOUR
Authorized Official - Last Name:DAVIS
Authorized Official - Suffix:
Authorized Official - Credentials:FNP
Authorized Official - Phone:978-326-9248
Mailing Address - Street 1:2 ELECTRONICS AVE STE 40
Mailing Address - Street 2:
Mailing Address - City:DANVERS
Mailing Address - State:MA
Mailing Address - Zip Code:01923-1071
Mailing Address - Country:US
Mailing Address - Phone:978-326-9428
Mailing Address - Fax:978-326-9488
Practice Address - Street 1:2 ELECTRONICS AVE STE 40
Practice Address - Street 2:
Practice Address - City:DANVERS
Practice Address - State:MA
Practice Address - Zip Code:01923-1071
Practice Address - Country:US
Practice Address - Phone:978-326-9428
Practice Address - Fax:978-326-9488
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:ASEDA HEALTH & WELLNESS LLC
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2022-09-22
Last Update Date:2024-06-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes2083A0300XAllopathic & Osteopathic PhysiciansPreventive MedicineAddiction MedicineGroup - Single Specialty
Yes251S00000XAgenciesCommunity/Behavioral HealthGroup - Single Specialty