Healthcare Provider Details

I. General information

NPI: 1811950603
Provider Name (Legal Business Name): NASHOBA SURGICAL ASSOCIATES, INC.
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 04/11/2006
Last Update Date: 03/16/2009
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

104 WHALON STREET SUITE 1-D
FITCHBURG MA
01420
US

IV. Provider business mailing address

104 WHALON STREET SUITE 1-D
FITCHBURG MA
01420
US

V. Phone/Fax

Practice location:
  • Phone: 978-345-0050
  • Fax: 978-345-0064
Mailing address:
  • Phone: 978-345-0050
  • Fax: 978-345-0064

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code208600000X
TaxonomySurgery Physician
License Number
License Number State

VIII. Authorized Official

Name: DR. KENT S GREENWOOD
Title or Position: PRESIDENT
Credential: MD
Phone: 978-537-6151