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GASTROENTEROLOGY AFFILIATES OF SOUTHEASTERN MASSACHUSETTS PC NPI 1891761862


NPI Information

NPI: 1891761862
Provider Name: GASTROENTEROLOGY AFFILIATES OF SOUTHEASTERN MASSACHUSETTS, PC

Former Legal Business Name: RHEUMATOLOGY & GASTROENTEROLOGY ASSOC PC

Classification: Internal Medicine - 207RG0100X
Entity Type: Organization

Specialization: Gastroenterology

CLIA Number: 22D1018894

Address:
1 PEARL ST
SUITE 1200
BROCKTON, MA
ZIP 02301
Phone: (508) 588-3174
Get Directions

GASTROENTEROLOGY AFFILIATES OF SOUTHEASTERN MASSACHUSETTS, PC is a gastroenterology internal medicine in Brockton, MA. The provider is an internist who specializes in diagnosis and treatment of diseases of the digestive organs including the stomach, bowels, liver and gallbladder. This specialist treats conditions such as abdominal pain, ulcers, diarrhea, cancer and jaundice and performs complex diagnostic and therapeutic procedures using endoscopes to visualize internal organs. GASTROENTEROLOGY AFFILIATES OF SOUTHEASTERN MASSACHUSETTS, PC NPI is 1891761862. The provider is registered as an organization entity type and is a multi-specialty group.
The provider Former Legal Business Name Is Rheumatology & Gastroenterology Assoc Pc.

The provider's business location address is:

1 PEARL ST
SUITE 1200
BROCKTON, MA
ZIP 02301-864
Phone: (508) 588-3174
Fax: (508) 588-3179

The provider's authorized official is Joel Soloman .
The authorized official title is President Of Corporation and has the following contact phone number (508) 588-3174.

The CLIA number assigned to this NPI record is 22D1018894 - physician office with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 2/28/2006 and was last updated on 5/16/2011.


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
1207RG0100XInternal MedicineGastroenterologyYes

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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