COHASSET HARBOR ADULT MEDICINE PRACTICE LLC COHASSET, MA

Contact Information

COHASSET HARBOR ADULT MEDICINE PRACTICE LLC

20 PARKINGWAY
COHASSET, MA 02025-1700

Phone: 781-383-9422
Fax: 781-383-8024
Website:

	Specialty	Taxonomy Code	Specialty Code	Provider Type
	Adult Medicine	207QA0505X	08	Physician/Family Practice

Indicates primary specialty

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NPI Profile & details for COHASSET HARBOR ADULT MEDICINE PRACTICE LLC · (Female)

NPI Number	`1508200908`
Status	Active
Credentials
Entity	Individual
Enumeration date	04/29/2013
Last updated	04/29/2013 - About 13 years ago
Sole proprietor ¹	Not specified
Identifiers	MA License # 30135
Hospital affiliation(s)	Not Available

¹ A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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