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106 Spring St New Bedford MA 02740-5951 | |
| (508) 997-6091 | |
| Not Available |
| Full Name | |
|---|---|
| Speciality | Clinic/Center |
| Location | 106 Spring St, New Bedford, Massachusetts |
| Authorized Official Name and Position | Johnathan Hilson Schwartz (OWNER) |
| Authorized Official Contact | 5082649871 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
106 Spring St New Bedford MA 02740-5951 Ph: (508) 997-6091 | 106 Spring St New Bedford MA 02740-5951 Ph: (508) 997-6091 |
| NPI Number | 1801442801 |
|---|---|
| Provider Enumeration Date | 08/15/2019 |
| Last Update Date | 01/30/2025 |
| Certification Date | 01/30/2025 |
| Medicare PECOS PAC ID | 9133451859 |
|---|---|
| Medicare Enrollment ID | O20191030001879 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1801442801 | NPI | - | NPPES |
| Provider Name | Jay G Stearns |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1073576096 PECOS PAC ID: 4486699386 Enrollment ID: I20050622000109 |
| Provider Name | Jonathan H Schwartz |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1053393462 PECOS PAC ID: 0244267177 Enrollment ID: I20050722000356 |
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