Organization Name: | OCCUPATIONAL HEALTH CENTERS OF THE SOUTHWEST, P.A., CO. |
NPI Number: | 1134258312 |
Entity Type Code: | Organizational (2) |
Authorized Official Name: | TOM FOGARTY (SENIOR VP / CHIEF MEDICAL OFFICER) |
Mailing Address: | One Harborside Dr. East Boston |
State: | MA US |
Postal Code: | 02128 |
Phone Number: | 6175686500 |
Fax Number: | 6175686573 |
NPI Enumeration Date: | 03/05/2007 |
NPI Last Update Date: | 07/30/2008 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 261QP2000X |
License Number: | |
Healthcare Provider Taxonomy: (Secondary) | N |
State: | |
Taxonomy Type: | Ambulatory Health Care Facilities |
Taxonomy Classification: | Clinic/Center |
Taxonomy Specialization: | Physical Therapy |
Taxonomy Definition: |