Bostonva Health Care System

NPI 1386740538 - Clinic/Center - 261QP2300X

NPI Details
NPI 1386740538
Enumeration Date 09/15/2006
Last Updated 08/07/2008
Entity Type Healthcare Provider
Active Over 10 years ago
Authorized Information
Name MARCIA ELLEN MARCIA
Position NURSE PRACTITIONER
Phone (508) 583-4500
Fax
Practice Location
940 BELMONT ST
11PC
BROCKTON MA, 02301-5596, US
Phone (508) 583-4500
Fax
Business Location
940 BELMONT ST
11PC
BROCKTON MA, 02301-5596, US
Phone
Fax
Toxanomy
Taxonomy Code 261QP2300X
License State Massachusetts
License Number 143788
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According to our database, Bostonva Health Care System NPI is 1386740538, taxonomy code is 261QP2300X and license number is 143788, license state is located at Massachusetts. Bostonva Health Care System physically located at 940 Belmont St, Brockton MA, 02301-5596. NPI Number 1033115704 has the healthcare provider type.

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1386740538 NPI number is provided on an as is basis without warranty of any kind. 1386740538 is maintained by the National Plan & Provider Enumeration System. The contents of Bostonva Health Care System are for informational purposes only.