Healthcare Provider Details

I. General information

NPI: 1578121893
Provider Name (Legal Business Name): E2E HEALTH INC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 06/01/2019
Last Update Date: 09/13/2021
Certification Date: 09/13/2021
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1 BROADWAY FL 14
CAMBRIDGE MA
02142-1187
US

IV. Provider business mailing address

1 BROADWAY FL 14
CAMBRIDGE MA
02142-1187
US

V. Phone/Fax

Practice location:
  • Phone: 617-564-3733
  • Fax: 857-285-4797
Mailing address:
  • Phone: 617-564-3733
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code174H00000X
TaxonomyHealth Educator
License Number
License Number State
# 2
Primary TaxonomyY
Taxonomy Code251B00000X
TaxonomyCase Management Agency
License Number
License Number State

VIII. Authorized Official

Name: SAMUEL FIGARO
Title or Position: BOARD CERTIFIED HEALTH COACH
Credential: NBHWC
Phone: 617-564-3733