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Contact Information

PLYMOUTH MEDAL GROUP INC
71 COMMERCIAL ST
STE 307
BOSTON, MA02109-1320
 Phone: 774-330-9116
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Hematology & Oncology

207RH0003X 11 Physician/Internal Medicine
Indicates primary specialty

NPI Profile & details for PLYMOUTH MEDAL GROUP INC

NPI Number 1457669293
LBN Legal business name PLYMOUTH MEDAL GROUP INC
Authorized official RICHARD WHITE - (CEO)
Entity Organization
Organization subpart 1 No
Enumeration date 09/14/2010
Last updated 09/14/2010 - About 16 years ago
Identifiers
MA License # 219192
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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