| Optimal Professional Health Services Pc | |
|
1418 Providence Hwy Suite N Norwood MA 02062-4655 | |
| (617) 964-1440 | |
| (617) 964-7833 |
| Full Name | Optimal Professional Health Services Pc |
|---|---|
| Speciality | General Practice |
| Location | 1418 Providence Hwy, Norwood, Massachusetts |
| Authorized Official Name and Position | Joseph A Russo (OWNER) |
| Authorized Official Contact | 6173641440 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Optimal Professional Health Services Pc 944 Washington St Suite One South Easton MA 02375-1177 Ph: (508) 238-8646 | Optimal Professional Health Services Pc 1418 Providence Hwy Suite N Norwood MA 02062-4655 Ph: (617) 964-1440 |
| NPI Number | 1881059665 |
|---|---|
| Provider Enumeration Date | 12/22/2015 |
| Last Update Date | 05/11/2016 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1881059665 | NPI | - | NPPES |
| 110109264A | Medicaid | MA |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 208D00000X | General Practice | (* (Not Available)) | Primary |
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