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Contact Information

BRENT H UPCHURCH, MD
31 ROCHE BROTHERS WAY
TWP, SUITE 140
NORTH EASTON, MA02767
 Phone: 508-894-0400
 Fax: 508-894-0332
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Pediatrics

208000000X 37 Physician/Pediatric Medicine
Indicates primary specialty

NPI Profile & details for BRENT H UPCHURCH · (Male)

NPI # 1174505457
Status Active
Credentials MD
Entity Individual
Enumeration date 11/14/2005
Last updated 10/18/2013 - About 13 years ago
Sole proprietor 1 No
Identifiers
  • MA License # 59406
  • MA Medicaid 3092411
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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