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Contact Information

ANNIE KONYEASO
462 COURT ST APT 2
BROCKTON, MA02302-2878
 Phone: 857-719-4921
 Fax: 508-857-3200
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Point of Service

305S00000X
Indicates primary specialty

NPI Profile & details for

NPI # 1902229727
Entity Organization
Organization subpart 1 Not specified
Enumeration date 01/30/2014
Last updated 01/30/2014 - About 12 years ago
Identifiers n/a
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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