Organization

Park Surgical Associates Inc

Surgery Physician in Brockton, MA(View on Map)

Legal Business Name

Park Surgical Associates Inc

NPI Number

1295798122

NPI Type

Organization

Enumeration Date

04/11/2006

Specialties

(Taxonomies)

Code

208600000X
2086S0129X

Primary Taxonomy

Yes
No

Contact
Information

Purpose

Mailing
Location

Address

1 PEARL STREET
1 PEARL STREET

City

Brockton
Brockton

State

MA
MA

Postal Code

02301-2870
02301-2870

Country

US
US

Telephone Number

(508) 584-4104
(508) 584-4104

Authorized Official

Name

Christopher Corey

Title or Position

PRESIDENT PHYSICIAN

Telephone Number

(508) 584-4104

Identifiers

Identifier

0007011
DB2012
600325
9704043
600325
97320

Identifier State

MA
MA
MA
MA
MA
MA

Identifier Issuer

NEIGHBORHOOD HEALTH PLAN
RR MEDICARE
SECURE HORIZONS
Unknown
TUFTS
AETNA

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

Data last updated by provider on 10/25/2007

Provider Address

Other Surgery Physicians in Brockton, Massachusetts:

Organization

Innovative Surgical Care, Pc

Brockton, MA

Specialty: Surgery Physician (Primary)

Organization

Brockton Hospital Specialty Physician Group

May also be known as Signature Healthcare Brockton Hospital
Brockton, MA

Specialties: Cardiovascular Disease PhysicianEmergency Medicine PhysicianEndocrinology, Diabetes & Metabolism PhysicianHospitalist PhysicianObstetrics & Gynecology PhysicianPain Medicine (Anesthesiology) PhysicianPediatrics PhysicianPsychiatry PhysicianSurgery Physician