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Gastroenterology Affiliates Of Southeastern Massachusetts, PC

Internal Medicine, Gastroenterology in Brockton, MA. Organization (NPI-2).

NPI number1891761862
StatusActive
Last updated in NPPESMay 16, 2011

Details

NPI
1891761862
Entity type
Organization (NPI-2)
Legal business name
Gastroenterology Affiliates Of Southeastern Massachusetts, PC
Organization subpart
No
Enumeration date
Feb 28, 2006
Last updated
May 16, 2011

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
207RG0100X Internal Medicine, Gastroenterology––Yes

Other names

  • Rheumatology & Gastroenterology Assoc PC (Former Legal Business Name)

Practice location

1 Pearl St
Suite 1200
Brockton, MA 02301-2864

Phone 508-588-3174 · Fax 508-588-3179

Mailing address

1 Pearl St
Suite 1200
Brockton, MA 02301-2864

Phone 508-588-3174 · Fax 508-588-3179

Authorized official

Joel Soloman
President Of Corporation
5085883174

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