Sports Medicine Health LLC
Internal Medicine, Sports Medicine in Millis, MA. Organization (NPI-2).
NPI number1205211331
StatusActive
Last updated in NPPESJun 14, 2023
Details
- NPI
- 1205211331
- Entity type
- Organization (NPI-2)
- Legal business name
- Sports Medicine Health LLC
- Organization subpart
- No
- Enumeration date
- Jul 30, 2015
- Certification date
- Jun 14, 2023
- Last updated
- Jun 14, 2023
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 207RS0010X | Internal Medicine, Sports Medicine | 26380 | MA | Yes |
Practice location
730 Main St Ste 1Millis, MA 02054-1612
Phone 508-356-7788
Mailing address
35 United Dr Ste 102West Bridgewater, MA 02379-1056
Authorized official
Judy L Brasier
Ceo/Physician
5083567788
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