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NPI Code Detail

MEDICARE: COPERNICAN BUSINESS SOLUTIONS, INC

MEDICARE: COPERNICAN BUSINESS SOLUTIONS, INC
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1103TC0700XClinical Psychologist7172MA

General Provider Information

NPI Number : 1508240151
Entity Type Code : Organization
Provider Name (Legal Business Name) : COPERNICAN BUSINESS SOLUTIONS, INC
Provider Business Mailing Address
First Line : 44 THORNTON ST
Second Line :
City : NEWTON
State : MA
Zip : 02458-1532
Country : US
Telephone Number : 617-244-2700
Fax Number :
Provider Business Practice Location Address
First Line : 44 THORNTON ST
Second Line :
City : NEWTON
State : MA
Zip : 02458-1532
Country : US
Telephone Number : 617-244-2700
Fax Number :
Authorized Official
Title or Position : OWNER/PRESIDENT
Name : DR. DAVID ANTHONY PERNA
Credential : PHD
Telephone Number : 617-244-2700
Provider Enumeration Date : 07/14/2015
Last Update Date : 07/14/2015

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Directions to “COPERNICAN BUSINESS SOLUTIONS, INC ” Practice Location

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