Park Surgical Associates Inc in Brockton - Vascular Surgery
Park Surgical Associates Inc - NPI 1295798122
Park Surgical Associates Inc is a Vascular Surgery in Brockton, Massachusetts. Park Surgical Associates Inc practices all healthcare services and medical treatments related to Vascular Surgery. The NPI Number for Park Surgical Associates Inc is 1295798122. The last update date is 2007-10-25.
Park Surgical Associates Inc's current location address is 1 Pearl Street, Brockton, Massachusetts. You can contact this provider via phone number 5085844104 and fax number 5085844106. The mailing address for Park Surgical Associates Inc is 1 Pearl Street, Brockton, Massachusetts. To know further, please read the information below!
Provider Profile Detail
Provider Organization | Park Surgical Associates Inc |
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Address | 1 Pearl Street, Brockton, Massachusetts |
Phone Number | 5085844104 |
Fax Number | 5085844106 |
Sole Proprietor | -- |
Credentials | -- |
Authorized Official
Title or Position | PRESIDENT |
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Authorized Official Name | Corey J Christopher |
Credentials | MD |
Telephone Number | 5085844104 |
NPI Number Detail
NPI Number | 1295798122 |
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Provider Enumeration Date | 2006-04-11 |
Last Updated Date | 2007-10-25 |
Provider Mailing Address Detail
Address | 1 Pearl Street |
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City | Brockton |
State | Massachusetts (MA) |
Post Code | 23012870 |
Phone Number | 5085844104 |
Fax Number | 5085844106 |
Provider's Primary Taxonomy Detail
Speciality | Vascular Surgery |
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Taxonomy | 2086S0129X |
Definition: A surgeon with expertise in the management of surgical disorders of the blood vessels, excluding the intracranial vessels or the heart. |
Provider's Other Legacy Identifiers
Identifier | Identifier Type | Identifier State | Identifier Issuer |
---|---|---|---|
7011 | MA | NEIGHBORHOOD HEALTH PLAN | |
DB2012 | MA | RR MEDICARE | |
600325 | MA | SECURE HORIZONS | |
9704043 | MA | -- | |
600325 | MA | TUFTS | |
97320 | MA | AETNA |
Post Comment/ Review Below
What is the unique 10-digit identification code issued to Park Surgical Associates Inc by the Centers for Medicare & Medicaid Services?
The Park Surgical Associates Inc has been assigned the NPI (National Provider Identifier) 1295798122 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code serves as a unique identifier for healthcare providers.
Could you please share the complete physical location address where Park Surgical Associates Inc's facilities are situated?
The facilities of Park Surgical Associates Inc are physically located at the following address: 1 Pearl Street, Brockton, MA, 23012870.
What is Park Surgical Associates Inc's specialized area of practice, and what is the corresponding taxonomy classification code for this field?
The Park Surgical Associates Inc's specialized field of practice is Vascular Surgery, and the corresponding taxonomy code that categorizes this area of specialization is 2086S0129X.
When did the Park Surgical Associates Inc receive its 1295798122?
The Park Surgical Associates Inc was issued its 1295798122 on 2006-04-11, which is the date when the organization was assigned this unique identifier.
When was the Park Surgical Associates Inc's information last updated?
The Park Surgical Associates Inc's information was last updated on 2007-10-25.