Digestive Disease Associates Pc
LBN: Digestive Disease Associates Pc
Digestive Disease Associates Pc is an health care organization with primary practice located at 47 Obery St Ste 201, Plymouth MA 02360-2230. The organization recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Internal Medicine, Allopathic & Osteopathic Physicians / Gastroenterology. Allopathic & Osteopathic Physicians / Gastroenterology is the primary health care specialty.
Digestive Disease Associates Pc can be contacted via phone (508) 747-1560, or through Russo, Jonathan M via phone (508) 747-1560.
Contact Information
Primary practice address
47 Obery St Ste 201
Plymouth MA 02360-2230
Phone: (508) 747-1560
Fax: (508) 747-5155
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Internal Medicine | 207R00000X | ||
| Allopathic & Osteopathic Physicians / Gastroenterology | 207RG0100X |
Profile Details
| NPI number | 1174700421 |
|---|---|
| LBN Legal business name | Digestive Disease Associates Pc |
| DBA Doing business as | |
| Authorized official | Russo, Jonathan M Doctor of Medicine (MD) |
| Entity | Organization |
| Organization subpart 1 | No |
| Enumeration date | Jan 29th, 2008 |
| Last updated | Nov 15th, 2016 - about 10 years ago |
1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1174700421 | NPPES |
| Massachusetts | MEDICAID | 3020835 |
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