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PARK SURGICAL ASSOCIATES INC NPI 1295798122


NPI Information

NPI: 1295798122
Provider Name: PARK SURGICAL ASSOCIATES INC
Classification: Surgery - 208600000X
Entity Type: Organization
Address:
1 PEARL STREET
STE 2700
BROCKTON, MA
ZIP 02301
Phone: (508) 584-4104
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PARK SURGICAL ASSOCIATES INC is a surgery in Brockton, MA. The provider is a general surgeon has expertise related to the diagnosis - preoperative, operative and postoperative management - and management of complications of surgical conditions in the following areas: alimentary tract; abdomen; breast, skin and soft tissue; endocrine system; head and neck surgery; pediatric surgery; surgical critical care; surgical oncology; trauma and burns; and vascular surgery. General surgeons increasingly provide care through the use of minimally invasive and endoscopic techniques. Many general surgeons also possess expertise in transplantation surgery, plastic surgery and cardiothoracic surgery. PARK SURGICAL ASSOCIATES INC NPI is 1295798122. The provider is registered as an organization entity type and is a multi-specialty group.

The provider's business location address is:

1 PEARL STREET
STE 2700
BROCKTON, MA
ZIP 02301-870
Phone: (508) 584-4104
Fax: (508) 584-4105

The provider's authorized official is Christopher J Corey .
The authorized official title is President Physician and has the following contact phone number (508) 584-4104.

The enumeration date for this NPI number is 4/11/2006 and was last updated on 10/25/2007.


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
12086S0129XSurgeryVascular SurgeryNo
2208600000XSurgeryYes

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
1600325OTHERMASSACHUSETTSTUFTS
2600325OTHERMASSACHUSETTSSECURE HORIZONS
397320OTHERMASSACHUSETTSAETNA
4DB2012OTHERMASSACHUSETTSRR MEDICARE
59704043MEDICAIDMASSACHUSETTS
6M10737MEDICARE PINMASSACHUSETTS
70007011OTHERMASSACHUSETTSNEIGHBORHOOD HEALTH PLAN
8M10737MEDICARE OSCAR/CERTIFICATIONMASSACHUSETTS
9M10737MEDICARE UPINMASSACHUSETTS

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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