The Open Door

Specialty details in registry · Gloucester, MA

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At a glance

28 Emerson Ave, Gloucester, MA 01930-2583

NPPES record updated Oct 4, 2019. Public records can lag behind changes at a practice.

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Practice location

28 Emerson Ave
Gloucester, MA 01930-2583

Professional details: NPI, taxonomy & registry record

NPI1942841531

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Registry details

Primary taxonomy: Specialty details in registry
Taxonomy code: 133V00000X
Enumeration date: Oct 4, 2019
Record updated: Oct 4, 2019

More registry details

Provider type: Organization · Type 2

Reported taxonomies and licenses

Specialty details in registry

133V00000X · Primary

License numbers and credentials are reported to NPPES; HCPList does not independently verify them.

Practice location

28 Emerson Ave
Gloucester, MA 01930-2583

Phone: (978) 283-6776

Mailing address

28 EMERSON AVE

GLOUCESTER, MA 019302583

Source: NPPES Source through Oct 18, 2026An NPI does not verify licensure or credentials.

Information may be outdated or incomplete. Confirm details directly with the practice. HCPList is an independent directory and is not affiliated with CMS.

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