Square Medical Group Llc in Watertown - Adult Mental Health
Square Medical Group Llc - NPI 1356515464
Square Medical Group Llc is a Adult Mental Health in Watertown, Massachusetts. Square Medical Group Llc practices all healthcare services and medical treatments related to Adult Mental Health. The NPI Number for Square Medical Group Llc is 1356515464. The last update date is 2015-08-13.
Square Medical Group Llc's current location address is 124 Watertown St, Watertown, Massachusetts. You can contact this provider via phone number 6179165069 and fax number 6174674073. The mailing address for Square Medical Group Llc is 124 Watertown St, Watertown, Massachusetts. To know further, please read the information below!
Provider Profile Detail
| Provider Organization | Square Medical Group Llc |
|---|---|
| Address | 124 Watertown St, Watertown, Massachusetts |
| Phone Number | 6179165069 |
| Fax Number | 6174674073 |
| Sole Proprietor | -- |
| Credentials | -- |
Authorized Official
| Title or Position | MEDICAL DI |
|---|---|
| Authorized Official Name | Lender Leonid Natalie |
| Credentials | M.D. |
| Telephone Number | 6179165069 |
NPI Number Detail
| NPI Number | 1356515464 |
|---|---|
| Provider Enumeration Date | 2008-04-18 |
| Last Updated Date | 2015-08-13 |
Provider Mailing Address Detail
| Address | 124 Watertown St |
|---|---|
| City | Watertown |
| State | Massachusetts (MA) |
| Post Code | 24722576 |
| Phone Number | 6179165069 |
| Fax Number | 6174674073 |
Provider's Primary Taxonomy Detail
| Speciality | Adult Mental Health |
|---|---|
| Taxonomy | 261Qm0850X |
| Licence No | 152859 |
|
Definition: An entity, facility, or distinct part of a facility providing diagnostic, treatment, and prescriptive services related to mental and behavioral disorders in adults. |
|
Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 3173615 | MA | -- |
Post Comment/ Review Below
What is the unique 10-digit identification code issued to Square Medical Group Llc by the Centers for Medicare & Medicaid Services?
The Square Medical Group Llc has been assigned the NPI (National Provider Identifier) 1356515464 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code serves as a unique identifier for healthcare providers.
Could you kindly provide the complete physical address where Square Medical Group Llc's facilities are geographically located?
The facilities of Square Medical Group Llc are physically situated at the following location: 124 Watertown St, Watertown, MA, 24722576.
What is the Square Medical Group Llc's area of specialization and corresponding taxonomy classification?
The Square Medical Group Llc's specialty field is Adult Mental Health, and it falls under the taxonomy code 261Qm0850X, which categorizes healthcare providers based on their specialties.
On what date was the 1356515464 assigned to Square Medical Group Llc?
The Square Medical Group Llc was issued its 1356515464 on 2008-04-18, which is the date when this unique identifier was assigned to the organization by the Centers for Medicare & Medicaid Services.
As of what date were the details pertaining to Square Medical Group Llc last refreshed?
The information related to the Square Medical Group Llc, including its address, specialty, and other relevant details, was last updated on 2015-08-13.
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