SOUTHBORO MEDICAL GROUP INC NPI 1164834750

NPI Information

SOUTHBORO MEDICAL GROUP, INC is a specialist in Southborough, MA. The provider is an individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree. SOUTHBORO MEDICAL GROUP, INC NPI is 1164834750. The provider is registered as an organization entity type and is a multi-specialty group.

The provider's business location address is:

24 NEWTON ST
SOUTHBOROUGH, MA
ZIP 01772-215
Phone: (508) 481-5500
Fax: (508) 460-3025

The provider's authorized official is Heather Labossiere .
The authorized official title is Credentialing Specialist and has the following contact phone number (508) 460-3297.

The enumeration date for this NPI number is 5/30/2014 and was last updated on 5/30/2014.

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:

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