CARITAS PHYSICIAN NETWORK; NPI #1851584189

Contact Information

CARITAS PHYSICIAN NETWORK

77 WARREN ST
CARITAS PHYSICIAN NETWORK
BRIGHTON, MA 02135-3601

Phone: 617-789-2317
Fax: 617-562-5488
Website:

	Specialty	Taxonomy Code	Specialty Code	Provider Type
	Oncology	261QX0200X

Indicates primary specialty

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NPI Profile & details for CARITAS PHYSICIAN NETWORK

NPI Number 1851584189

LBN Legal business name CARITAS PHYSICIAN NETWORK

Authorized official PAUL HESKETH - (CHIEF, HEMATOLOGY-ONCOLOGY)

Entity Organization

Organization subpart ¹ No

Enumeration date 08/21/2007

Last updated 08/21/2007 - About 19 years ago

Identifiers

MA	License #	98556
MA	Medicaid	0324141
MA	Other	NP2436	BC/BS

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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