Southboro Medical Group, Inc. | |
24 Newton St Southborough MA 01772-1215 | |
(508) 481-5500 | |
(508) 460-3025 |
Full Name | Southboro Medical Group, Inc. |
---|---|
Speciality | Social Worker - Clinical |
Location | 24 Newton St, Southborough, Massachusetts |
Authorized Official Name and Position | Marvin Ostrovsky (PRESIDENT) |
Authorized Official Contact | 5084815500 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
---|---|
Southboro Medical Group, Inc. 24 Newton St Southborough MA 01772-1215 Ph: (508) 481-5500 | Southboro Medical Group, Inc. 24 Newton St Southborough MA 01772-1215 Ph: (508) 481-5500 |
NPI Number | 1518032630 |
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Provider Enumeration Date | 11/22/2006 |
Last Update Date | 08/22/2020 |
Identifier | Type | State | Issuer |
---|---|---|---|
1518032630 | NPI | - | NPPES |
669105 | Other | MA | TUFTS BEHAVIORAL HEALTH |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
103T00000X | Psychologist | (* (Not Available)) | Primary |
1041C0700X | Social Worker - Clinical | (* (Not Available)) | Primary |
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