Organization Name: | LCB CEDARS OF DARTMOUTH |
NPI Number: | 1104242353 |
Entity Type Code: | Organizational (2) |
Authorized Official Name: | STEPHEN D PULIAFICO (MANAGING PARTNER/PRESIDENT) |
Mailing Address: | 628 Old Westport Rd Dartmouth |
State: | MA US |
Postal Code: | 027472398 |
Phone Number: | 7816199320 |
Fax Number: | |
NPI Enumeration Date: | 03/12/2014 |
NPI Last Update Date: | 03/12/2014 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 302R00000X |
License Number: | |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | |
Taxonomy Type: | Managed Care Organizations |
Taxonomy Classification: | Health Maintenance Organization |
Taxonomy Specialization: | |
Taxonomy Definition: | (1) A form of health insurance in which its members prepay a premium for the HMO |