Organization

Northeast Heatlh

Clinic/Center in Brockton, MA(View on Map)

Legal Business Name

Northeast Heatlh

NPI Number

1508534710

NPI Type

Organization

Enumeration Date

09/01/2021

Specialties

(Taxonomies)

Code

261Q00000X

Primary Taxonomy

Yes

Contact
Information

Purpose

Mailing
Location

Address

49 COYLE AVE APT 5
231 MAIN ST

City

Pawtucket
Brockton

State

RI
MA

Postal Code

02860-1132
02301-4342

Country

US
US

Telephone Number

(862) 321-9281
(508) 586-2660

Authorized Official

Name

Marylou Shearing

Title or Position

CLINIC DIRECTOR

Telephone Number

(508) 586-2660

Provider data last refreshed from NPPES NPI registry on 11/19/2024

Data last updated by provider on 09/01/2021

Provider Address

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