COHASSET HARBOR ADULT MEDICINE PRACTICE LLC; NPI #1508200908

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

NPI # 1508200908

LBN Legal business name COHASSET HARBOR ADULT MEDICINE PRACTICE LLC

Authorized official ROGER POMPEO - (MANAGER)

Entity Organization

Organization subpart ¹ No

Enumeration date 04/29/2013

Last updated 04/29/2013 - About 13 years ago

Identifiers

License #

30135

¹ Some organization health care providers are made up of components that furnish different types of health care or have separate physical locations where health care is furnished. These components and physical locations are not themselves legal entities, but are part of the organization health care provider (which is a legal entity). A covered organization provider may decide that its subparts (if it has any) should have their own NPI numbers. If a subpart conducts any HIPAA standard transactions on its own (e.g., separately from its parent), it must obtain its own NPI number.

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