Brightside Inc

NPI 1093709370 - Clinic/Center - 261QM0801X

NPI Details
NPI 1093709370
Enumeration Date 09/01/2005
Last Updated 08/06/2010
Entity Type Healthcare Provider
Active Over 12 years ago
Authorized Information
Name THOMAS THOMAS
Position CHIEF FINANCIAL OFFICER
Phone (413) 536-5111
Fax
Practice Location
1233 MAIN ST
HOLYOKE MA, 01040-5381, US
Phone (413) 536-5111
Fax
Business Location
1233 MAIN ST
HOLYOKE MA, 01040-5381, US
Phone (413) 536-5111
Fax
Toxanomy
Taxonomy Code 261QM0801X
License State Massachusetts
License Number 4257
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According to our database, Brightside Inc NPI is 1093709370, taxonomy code is 261QM0801X and license number is 4257, license state is located at Massachusetts. Brightside Inc physically located at 1233 Main St, Holyoke MA, 01040-5381. NPI Number 1033115704 has the healthcare provider type.

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1093709370 NPI number is provided on an as is basis without warranty of any kind. 1093709370 is maintained by the National Plan & Provider Enumeration System. The contents of Brightside Inc are for informational purposes only.