| Kiosk Inc | |
|
251 Walnut St New Bedford MA 02740-4964 | |
| (508) 994-3120 | |
| (508) 990-1346 |
| Full Name | Kiosk Inc |
|---|---|
| Speciality | Clinic/center |
| Location | 251 Walnut St, New Bedford, Massachusetts |
| Authorized Official Name and Position | Joseph Disanti (ADMINISTRATOR) |
| Authorized Official Contact | 5089943120 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Kiosk Inc 251 Walnut St New Bedford MA 02740-4964 Ph: (508) 994-3120 | Kiosk Inc 251 Walnut St New Bedford MA 02740-4964 Ph: (508) 994-3120 |
| NPI Number | 1851434922 |
|---|---|
| Provider Enumeration Date | 02/15/2007 |
| Last Update Date | 08/22/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1851434922 | NPI | - | NPPES |
| 5507219 | Medicaid | MA |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261Q00000X | Clinic/center | 5507219 (Massachusetts) | Primary |
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