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ENT SPECIALISTS INC NPI 1548319809


NPI Information

NPI: 1548319809
Provider Name: ENT SPECIALISTS, INC
Classification: Otolaryngology - 207Y00000X
Entity Type: Organization
Address:
35 PEARL ST STE 100
BROCKTON, MA
ZIP 02301
Phone: (508) 588-8034
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ENT SPECIALISTS, INC is an otolaryngology in Brockton, MA. The provider is an otolaryngologist-head and neck surgeon provides comprehensive medical and surgical care for patients with diseases and disorders that affect the ears, nose, throat, the respiratory and upper alimentary systems and related structures of the head and neck. An otolaryngologist diagnoses and provides medical and/or surgical therapy or prevention of diseases, allergies, neoplasms, deformities, disorders and/or injuries of the ears, nose, sinuses, throat, respiratory and upper alimentary systems, face, jaws and the other head and neck systems. Head and neck oncology, facial plastic and reconstructive surgery and the treatment of disorders of hearing and voice are fundamental areas of expertise. ENT SPECIALISTS, INC NPI is 1548319809. The provider is registered as an organization entity type and is a multi-specialty group.

The provider's business location address is:

35 PEARL ST STE 100
BROCKTON, MA
ZIP 02301-195
Phone: (508) 588-8034
Fax: (508) 588-5969

The provider's authorized official is Russell S Shu .
The authorized official title is President and has the following contact phone number (508) 588-8034.

The enumeration date for this NPI number is 1/9/2007 and was last updated on 12/18/2018.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1225100000XPhysical TherapistNo
2207Y00000XOtolaryngologyYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.Other Provider IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
1M10815OTHERMASSACHUSETTSBCBS OF MA -GRP ID#
29700226MEDICAIDMASSACHUSETTS

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/14/2023

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