Ent Specialists, Inc in Brockton - Physical Therapist
Ent Specialists, Inc - NPI 1548319809
Ent Specialists, Inc is a Physical Therapist in Brockton, Massachusetts. Ent Specialists, Inc practices all healthcare services and medical treatments related to Physical Therapist. The NPI Number for Ent Specialists, Inc is 1548319809. The last update date is 2018-12-18.
Ent Specialists, Inc's current location address is 35 Pearl St Ste 100, Brockton, Massachusetts. You can contact this provider via phone number 5085888034 and fax number 5085885969. The mailing address for Ent Specialists, Inc is 35 Pearl St Ste 100, Brockton, Massachusetts. To know further, please read the information below!
Provider Profile Detail
| Provider Organization | Ent Specialists, Inc |
|---|---|
| Address | 35 Pearl St Ste 100, Brockton, Massachusetts |
| Phone Number | 5085888034 |
| Fax Number | 5085885969 |
| Sole Proprietor | -- |
| Credentials | -- |
Authorized Official
| Title or Position | PRESIDENT |
|---|---|
| Authorized Official Name | Shu S Russell |
| Credentials | MD |
| Telephone Number | 5085888034 |
NPI Number Detail
| NPI Number | 1548319809 |
|---|---|
| Provider Enumeration Date | 2007-01-09 |
| Last Updated Date | 2018-12-18 |
Provider Mailing Address Detail
| Address | 35 Pearl St Ste 100 |
|---|---|
| City | Brockton |
| State | Massachusetts (MA) |
| Post Code | 23011195 |
| Phone Number | 5085888034 |
| Fax Number | 5085885969 |
Provider's Primary Taxonomy Detail
| Speciality | Physical Therapist |
|---|---|
| Taxonomy | 225100000X |
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Definition: Physical therapists (PTs) are licensed health care professionals who diagnose and treat individuals of all ages, from newborns to the very oldest, who have medical problems or other health-related conditions that limit their abilities to move and per |
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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 9700226 | MA | -- | |
| M10815 | MA | BCBS OF MA -GRP ID# |
Post Comment/ Review Below
What is the Ent Specialists, Inc's 1548319809?
The Ent Specialists, Inc's NPI (National Provider Identifier) Number is 1548319809. This unique 10-digit identification number is assigned to health care providers by the Centers for Medicare & Medicaid Services (CMS).
Where is the Ent Specialists, Inc located?
The Ent Specialists, Inc is located at 35 Pearl St Ste 100, Brockton, MA 23011195.
Could you please provide the complete physical location address of Ent Specialists, Inc?
The Ent Specialists, Inc is physically situated at 35 Pearl St Ste 100, in the city of Brockton, state of MA, with the postal code 23011195.
On what date did the Centers for Medicare & Medicaid Services issue the 1548319809 to Ent Specialists, Inc?
The Ent Specialists, Inc received its 1548319809 assignment from the Centers for Medicare & Medicaid Services on 2007-01-09.
When was the information pertaining to Ent Specialists, Inc most recently updated or revised?
The details related to Ent Specialists, Inc, including its address, specialty, and other relevant information, were last updated or revised on 2018-12-18.