South Shore Physiatry And Spasticity Management

LBN: South Shore Physiatry And Spasticity Management
South Shore Physiatry And Spasticity Management is an health care organization with primary practice located at 250 Pond Street , Braintree MA 02184-5351. The organization recently has only one registered license in Other Service Providers / Specialist, which is considered as the primary health care specialty. South Shore Physiatry And Spasticity Management can be contacted via phone (781) 682-9700, or through Koelbel, Stephen via phone (781) 231-7026.

Contact Information

Primary practice address
250 Pond Street Braintree MA 02184-5351
Phone: (781) 682-9700
Fax:
Website:
Map and Directions
Authorized official contact:
Name: Koelbel, Stephen Doctor of Medicine (MD)
Phone: (781) 231-7026

Health care specialties

SpecialtyCodeLicense #State
Other Service Providers / Specialist 174400000X 158723 Massachusetts

Profile Details

NPI number 1275782435
LBN Legal business name South Shore Physiatry And Spasticity Management
DBA Doing business as
Authorized official Koelbel, Stephen Doctor of Medicine (MD)
Entity Organization
Organization subpart 1 No
Enumeration date Sep 12th, 2008
Last updated Feb 24th, 2010 - about 16 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1275782435 NPPES
Massachusetts MEDICAID 110083193A
Massachusetts Other M19641

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