Healthcare Provider Details
I. General information
NPI: 1043424856
Provider Name (Legal Business Name): NP CARE OF MASSACHUSETTS LLC
Entity Type: Organization
Gender:
Sole Proprietor:
II. Dates (important events)
Enumeration Date: 05/10/2007
Last Update Date: 09/09/2008
Certification Date:
Deactivation Date:
Reactivation Date:
III. Provider practice location address
131 MAIN ST SUITE 201
HATFIELD MA
01038-9786
US
IV. Provider business mailing address
10 PROGRESS DR SUITE 200
SHELTON CT
06484-6216
US
V. Phone/Fax
- Phone: 413-247-5878
- Fax:
- Phone: 203-025-9600
- Fax: 203-926-0594
VI. Provider taxonomy
Scope of Practice (Provider specialty)
| # 1 | |
| Primary Taxonomy | Y |
| Taxonomy Code | 363L00000X |
| Taxonomy | Nurse Practitioner |
| License Number | |
| License Number State | |
VIII. Authorized Official
Name:
DAVID
M
CHESS
Title or Position: CEO, PRESIDENT
Credential: MD
Phone: 203-925-9600