Healthcare Provider Details
I. General information
NPI: 1235012675
Provider Name (Legal Business Name): EAST POINT MEDICAL ASSOCIATES PC
Entity Type: Organization
Gender:
Sole Proprietor:
II. Dates (important events)
Enumeration Date: 07/30/2025
Last Update Date: 07/30/2025
Certification Date: 07/30/2025
Deactivation Date:
Reactivation Date:
III. Provider practice location address
8 KINNAIRD ST
CAMBRIDGE MA
02139-3733
US
IV. Provider business mailing address
955 MASSACHUSETTS AVE STE 158
CAMBRIDGE MA
02139-3180
US
V. Phone/Fax
- Phone: 857-575-5831
- Fax:
- Phone: 857-575-5831
- Fax:
VI. Provider taxonomy
Scope of Practice (Provider specialty)
| # 1 | |
| Primary Taxonomy | Y |
| Taxonomy Code | 171M00000X |
| Taxonomy | Case Manager/Care Coordinator |
| License Number | |
| License Number State | |
| # 2 | |
| Primary Taxonomy | N |
| Taxonomy Code | 172V00000X |
| Taxonomy | Community Health Worker |
| License Number | |
| License Number State | |
VIII. Authorized Official
Name:
ROY
HOWARD
PERLIS
Title or Position: OWNER
Credential: MD
Phone: 857-321-9357