Healthcare Provider Details
I. General information
NPI: 1497867915
Provider Name (Legal Business Name): METROWEST EMERGENCY PHYSICIANS INC
Entity Type: Organization
Gender:
Sole Proprietor:
II. Dates (important events)
Enumeration Date: 08/31/2006
Last Update Date: 08/14/2015
Certification Date:
Deactivation Date:
Reactivation Date:
III. Provider practice location address
115 LINCOLN STREET
FRAMINGHAM MA
01702
US
IV. Provider business mailing address
160 FEDERAL STREET 9TH FLOOR
BOSTON MA
02110
US
V. Phone/Fax
- Phone: 508-383-1104
- Fax: 508-383-1138
- Phone: 508-383-1104
- Fax: 508-383-1138
VI. Provider taxonomy
Scope of Practice (Provider specialty)
| # 1 | |
| Primary Taxonomy | Y |
| Taxonomy Code | 207P00000X |
| Taxonomy | Emergency Medicine Physician |
| License Number | |
| License Number State | |
VIII. Authorized Official
Name:
LISA
SOTIR
Title or Position: PRESIDENT
Credential: MD
Phone: 508-383-1104