Healthcare Provider Details

I. General information

NPI: 1497946404
Provider Name (Legal Business Name): JOSHI MEDICAL SERVICES, PC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 08/05/2007
Last Update Date: 04/24/2018
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

16 PINE ST SUITE 5
LOWELL MA
01851-3141
US

IV. Provider business mailing address

16 PINE ST SUITE 5
LOWELL MA
01851-3141
US

V. Phone/Fax

Practice location:
  • Phone: 978-670-1300
  • Fax: 978-528-2024
Mailing address:
  • Phone: 978-670-1300
  • Fax: 978-528-2024

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code261Q00000X
TaxonomyClinic/Center
License Number55726
License Number StateMA

VIII. Authorized Official

Name: ASHOK K JOSHI
Title or Position: PRESIDENT
Credential:
Phone: 978-670-1300