Organization · NPI-2

Aspitha, LLC

General Practice · Cambridge, MA

NPI number1649975657
StatusActive
Last updated in NPPESMar 31, 2023

Details

NPI
1649975657
Entity type
Organization (NPI-2)
Legal business name
Aspitha, LLC
Organization subpart
No
Enumeration date
Mar 31, 2023
Certification date
Mar 31, 2023
Last updated
Mar 31, 2023

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
208D00000X General Practice––Yes
207QA0505X Family Medicine, Adult Medicine––
208000000X Pediatrics––
2080P0203X Pediatrics, Pediatric Critical Care Medicine––
208600000X Surgery––
2086S0127X Surgery, Trauma Surgery––
209800000X Legal Medicine––
363A00000X Physician Assistant––
363L00000X Nurse Practitioner––
364SX0106X Clinical Nurse Specialist, Occupational Health––

Practice location

45 Prospect St
Cambridge, MA 02139-2402

Phone 857-352-6650

Mailing address

45 Prospect St
Cambridge, MA 02139-2402

Phone 857-352-6650

Other practice locations

105 Mcgilpin Rd
Sturbridge, MA 01566-1263

Phone 857-352-6650

Authorized official

Michael George Debusk
Founder And Owner
8573526650

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